HomeMy WebLinkAbout09-8714 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8714
BUILDING PERMIT
Permit Number: 8714 Address: 6120 HARRIET ST LT#21
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Square Feet: Subdivision: PINE CREST M.H.P.
Est. Value: Parcel Number: 03-26-21-0210-00000-0210
Improv. Cost: 1,188.69 �'.
Date Issued: 1/09/2009 Name: HACKETT, DONALD &AUDREY
Total Fees: 60.00 Address: 161 PETER ST
Amount Paid: 60.00 BOTH WELL ON CANDA NOP1 CO
Date Paid: 1/09/2009 Phone: (813)783-9027
Work Desc: CONTRUCT NEW DECK 12 X 14
p.
HOMEOWNER BUILDING FEE 60.00
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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."
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
......
. ...................... .
..............
City ofZephyrhills .
BUILDING PLAN REVIEW COMMENTS
ContractorlHomeowner:
ad —
Date Received: l ! 1
Site: �
Permit Type:
Approved w/no'comments:D Approved wlthe below commence=
Denied w/the.below comments: ❑
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Kal /i!/(
vin Swier—P er Date Conttactor..and/or Homeowner
• . .. . • .• .(Repaired.when comments are present)
-come Depot#8929
5 EILAND BLVD, ZEPHYRHILLS, FL 33545
1788-1642 '
Dec 31 10:22:21 2008
Project cannot be priced because not all materials are carried in stock.
Store Associate for prices on non-stock items shown in Bill-of-Materials.
RY HACKETT
K1
17
Layout for Deck 1
£3'.�'� t ] p F '
I
4"
--- ---------
BasePoint
I
I \O
-lome Depot#8929
5 EILAND BLVD, ZEPHYRHILLS, FL 33545
789-1642
Dec'31 '102221 2008
Project cannot be priced because not all materials are carried in stock.
Store Associate for prices on non-stock items shown in Bill-of-Materials.
RY HACKETT
K1
J7
Layout
I F �.. ice( Ey ISJ ;lF i i T.
-��k �'.a..d;2Y.` t.r iit•`f r'7T 7 ��t} .i4�
I 1 t'1LJ
-lome Depot#8929
5 EILAND BLVD, ZEPHYRHILLS, FL 33545
►788-1642
Dec 31 10:22:21 2008
Project cannot be priced because not all materials are carried in stock.
Store Associate for prices on non-stock items shown in Bill-of-Materials.
RY HACKETT
K1
17
Dimensions for Deck 1 ;
i ff"
12'
• In
O -1
�' II
F 4N
iA
Deck 1
Joist Spaci g = 16 in. o.c.
Baluster Spa ing - " 12'
Toe Spacing 3 3/4"
Railing Height = 36"
'he Home Depot#8929
2715 EILAND BLVD, ZEPHYRHILLS, FL 33545
513)788-1642
Ved Dec 3110:22:272008
ARRY HACKETT
)ECK1
'3357
;onstruction Specifications
leck 1:
Construction Method =Beam Flush With Joist
Footing Type= In-Ground
Live Load =40
Dead Load = 10
Decking Spacing=0 1/4"
Joist Spacing= 16"
Beam Spacing = 168"
Post Spacing =69 1/4"
Decking =5/4X6 Treated Southern Pine Standard —
Beams =2X8 Treated Southern Pine No. 2
Joists =2X10 Treated Southern Pine No. 2
Posts =4X4 Treated Southern Pine No. 2
Deck Height=24"
Diagonal Bracing=Yes
Deck Skirt= No
Joist Overhang=0"
Beam Overhang =0"
Decking Deflection Factor=360
Joist Deflection Factor=360 pp �' ry'`
i hl ill�T ( ii r f
Beam Deflection Factor= 360 I I
Pref Decking Size=ML5/4x6
Pref Joist Se=NONE r `
Pref Beam Size= NONE
Pref Post Size= NONE
Diag Brace Height 1 =24" in
Diag Brace Height 2 =24" in
Railing 2:
Railing Height=36"
Baluster Spacing=3 3/4"
Toe Space=3 3/4"
Railing 1:
Railing Height=36"
Baluster Spacing=3 3/4"
Toe Space=3 3/4"
Stair 1:
Step Width =36"
Step Height= 16"
Step Rise=8"
Step Run = 11"
Stringers =2X12 Treated Southern Pine No. 2
Risers =5/4X6 Treated Southern Pine Standard
Treads =5/4X6 Treated Southern Pine Standard
Railing 5:
Railing Height=36"
Baluster Spacing =3 3/4"
Toe Space=3 3/4"
tailing 4:
Railing Height=36"
Baluster Spacing = 3 3/4"
Toe Space=3 3/4"
tailing 6:
Railing Height=36"
Baluster Spacing =3 3/4"
Toe Space=3 3/4"
Zailing 3:
Railing Height=36"
Baluster Spacing = 3 3/4"
Toe Space=3 3/4"
-lome Depot#8929
5 EILAND BLVD, ZEPHYRHILLS, FL 33545
788-1642 `
Dec 31 10:22:21 2008
Project cannot be priced because not all materials are carried in stock.
Store Associate for prices on non-stock items shown in Bill-of-Materials.
RY HACKETT
KI
'7
'iew
�' j
•he Home Depot#8929
2715 EILAND BLVD, ZEPHYRHILLS, FL 33545
313)788-1642
2/31/2008
ARRY HACKETT
)ECK1
'3357
Aaterials for Deck:
Qty UOM SKU Use Description
28 EA 302477 Balusters 2X2-8#1 EE PT
2 EA 127713 Beam 2X8-12 NO 2 PRIME PT
7 EA 168768 Bottom Rail 5/4 X6-8FT THOMPSONIZED DECK PT
30 EA 128813 Decking 5/4X6-12 STD/BTR DECKING PT
7 EA 129093 H Top Rail 5/4X6-8 STD/BTR DECKING PT
8 EA 255957 Joist 2X10-16#2 PT
3 EA 258132 Post 4X4-12#2 PT
8 EA 256276 Railing Post 4X4-8#2 PT
2 EA 255781 Rim Joist 2X10-12#2 PT
2 EA 255957 Rim Joist 2X1 0-16#2 PT
1 EA 255974 Stair Stringer 2X12-8#2 PT
1- EA 128692 Step Tread 5/4X6-1 0 STD/BTR DECKING PT
1 EA 129093 Step Tread 5/4X6-8 STD/BTR DECKING PT
7 EA 234205 Vert Top Rail 2X4-10 PREMIUM THOMPSONIZED PT
Standard Materials: NOSKU, Standard Deck Materials
20 EA 865889 2x10 Joist Hanger 2X10 ZMAX JOIST HANGER-EA
12 EA 544208 Beam Bolt 4x4 CARRIAGE BOLT-GALV. 1/2 X 8
12 EA 538892 Beam Nut HEX NUT GALV 1/2
12 EA 538981 Beam Washer FLAT CUT WASHER GALV 1/2
18 EA 533829 Conc In-Gnd 80LB SAKRETE CONCRETE MIX
2 EA 258132 DiagBrac Joist 4X4-12#2 PT
1 EA 192708 DiagBrac Joist Nail 16D 3-1/2" HOT GALV COMMON 5 LB
1 EA 192708 Joist Framing Nails 16D 3-1/2" HOT GALV COMMON 5 LB
2 PK 462810 Hanger Nails 2x10 1 1/2IN 10D JOIST HANGER NAILS-150PK
30 EA 544208 Rail Post-Bolt CARRIAGE BOLT-GALV. 1/2 X 8
30 EA 538892 Rail Post-Nut HEX NUT GALV 1/2
30 EA 538981 Rail Post-Washer FLAT CUT WASHER GALV 1/2
Decking: OPTMAT, Treated Southern Pine Standard
1 EA 221631 Deck Screws DECKMATE SCREW, GREEN, 3 IN, 25LB
1 EA 734998 Fascia Screws DECKMATE SCREW, GREEN, 2 IN, 5LB
5 EA 155399 Fascia Board 1X6-12 APPEARANCE GRADE PT
The total cost of in stock materials i $1188.69 s tax.
This Price does not include any Sped ems.
Please see Store Associate to adjust the design
or to price and order items.
This estimate was created on 12/31/2008 and is valid for 3 business days.
Parameters from UBC.cod parameter file.
Parameters used for Deck 1: 40 psf live load, 48 inch footing depth.
WARNING:
THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL
CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE
OR THE FINAL STRUCTURE, CODE VERIFICATION, MATERIAL USAGE, AND STRUCTURAL SAFETY OF THIS
)ESIGN. 'BE SURE TO CHECK AND VERIFY THE DESIGN WITH YOUR LOCAL ARCHITECT AND BUILDING
VSPECTOR.
THE COMPANY ASSUMES ABSOLUTELY NO RESPONSIBILITY FOR THE CORRECT USE OF THIS PROGRAM.
ALL OUTPUT SHOULD BE EXAMINED BY A QUALIFIED PROFESSIONAL TO DETERMINE IF THEY ARE
ZEASONABLE AND ACCURATE.
DISCLOSURE STATEMENT FOR OWNER
CITY OF .ZEPHYRHILLS BUILDING DEPARTMENT
I have read and -fully understand and
agree to -the provisions of this instrument.
.The undersigned states and affirms 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.
B. 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. 2t 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'S S p DATE t —5 y-1
ADDRESS
PHONE 7g3 f7
WITNESS PERMIT #
Pasco County Parcel: 03-26-21-0210-00000-0210 001 Page 1 of 2
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Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, January 03, 2009
Parcel ID 03-26-21-0210-00000-0210 (Card: 001 of 001)
Classification II 02 - Mobile Homes
Mailing Address Property Value
HACKETT DONALD &AUDREY Ag Land $0
161 PETER ST Land $11,500
BOTHWELL ON CANADA NOP1C0
CANADA, Building $10,156
Physical Address Extra Features $109
Physical Address N/A Market Value $21,765
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
PINECREST MOBILE HOME PARK
CO-OP OR 4767 PG 100 & Taxable Value $21,765
OR 4814 PG 662
LOT 21
Land Detail (Card: 001 of 001)
Line Use IlDescriptionhi Zoning Units Type Price Condition Value*
1 0200 MSUBM OOM2 1.00 LT O$ii,soo.000
1.00 $11,500
Additional Land Information
Acres 0.04 Tax Area 30ZH FEMA Code --Residential Codell PNCSLP1
Building Information - Use 02 - Mobile Home (Card: 001 of 001)
Year Built 1969 Stories 1.0
Exterior Wall 1 Above Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M)
Interior Wall 1 Plywood Panel Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air- Ducted
A/C None Baths 2.0
Line � Description Sq. Feet Repi. Cost New
1 UEA JI 180 II $4,261
2 BASJI 672 $22,727
3 II FCA 300 $2,029
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 A/C-2 1999 1 $60
2 UDU-M 1975 1 $49 ]
Sales History
Previous Owner PINECREST MOBILE HOME PARK
Year Month Book/Page Type Amount
2001 I 11 f 4814/0673 PL $0
2001 02 4567 / 1952 WD $0
1999 03 4125/0781 WD $0
Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions
http://appraiser.pascogov.com/search/parcel.aspx?sec=03&twn=26&rng=21&sbb=0210&bl... 1/9/2009
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department 0' �1�
Date Received ' -°?
() Phone Contact for Permitting --
Owner's Name I Z v/V I9 1q /7e k /-� rr Owner Phone Number rl � Z
/94Owner's Address D � JG" T. Owner Phone Number I
Fee Simple Titleholder Name Owner Phone Number F
Fee Simple Titleholder Address
JOB ADDRESS 412b, {R /E7 5T LOT# Z
SUBDIVISION I` / WE EC- P4 S PARCEL ID# 0 ' -0 uo - `00D —0 u D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK
/� FRAME STEEL 0 OTHER
DESCRIPTION OF WORK /� ` 2- x /4
BUILDING SIZE / /' / SQ FOOTAGE f(€ 7 HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION // 7
ELECTRICAL $ AMP SERVICE Liii PROGRESS ENERGY Q W.R.E.C.
0 PLUMBING $
0 MECHANICAL I
VALUATION OF MECHANICAL INSTALLATION
Ellil GAS 0 ROOFING SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLO ZONE AREA DYES QNO
BUILDER COMPANY ��C� �1
SIGNATURE REGISTERED Y/ N FEE CURRENT IY/N
Address I License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y IN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N
Address I License# F
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address License# I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
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)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans W/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
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 A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor in plans, l issuance of a permit prevent constructionof any codes. Everythe Building Official from thereafter
perm t issued shall become invalid
requiring a correction of errors in construction or
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: YOUR FAILURE TO RECORPE NOTICEF YOU INTEND OETO OBTAIN F NANC NG CONSULT
NCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PRO
WITH YOUR LENDER OR AN ATTOR EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117 /(� �
( 1 CONTRACTOR
OWNER OR AGENT 1 S scribed and sworn or a �) fore-my-1. is
Subscrib and swp�q�to(or ffir d)b�#�Je�$t�j7by , ���� ��
s �C / Who s/are personally known to me or has/have produced
Who slave personally known to me or has/have produced (j(C r as identification.
CQ�t as Identification.
Notary Public
Notary Public j _ &IJ324 -
Commi ' n No.
o issuY JACQUELINE BOGES
Commission DD 621833
Name of Notary typed, ;; s dnNTDeoember 122070Q
Name of �b@af 'fyPe'tf" T�n6e�°j"s s-7o,s ofBond
Pinecrest Mobile Home Park
Residents, Inc.
6043 Harriett St. • Zephyrhills, FL 33542
Phone: (813) 782-6112 Fax: (813) 782-7113
y rn� r