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HomeMy WebLinkAbout09-9042 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9042 FENCE PERMIT Permit Number: 9042 Address: 38741 CR 54 EAST Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SLEEPY HOLLOW T.T.PK #2 Est. Value: Parcel Number: Improv. Cost: 3,800.00 Date Issued: 4/22/2009 Name: SLEEPY HOLLOW MOBILE HOME PARK Total Fees: 50.00 Address: 38741 CR 54 EAST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/22/2009 Phone: Work Desc: WOOD PRIVACY FENCE - 325 LINEAL FEET as „.,,. <. ,. :°.: WILTON ENTERPRISES, INC (813)788 -5642 FENCE 50.00 6 10-c -o9 FINAL ,y 1 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 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances ONTRACTOR PERMIT OFF! - - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780 -0020 City of Zephyrhills Permit Application Fax - 813 - 780 -0021 Building Department Date Received /y '''' - D Phone Contact for Permitting — Owner's Name S 41 -£e- - P y //0//0 i✓ 4I d7', AAtc Owner Phone Number Owner's Address 1 ,3y 7 V/ oz s-€ C- Owner Phone Number I I Fee Simple Titleholder Namel Owner Phone Number Fee Simple Titleholder Address LOT # JOB ADDRESS SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED 11 NEW CONSTR I I ADD /ALT I I SIGN I 1 MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR 1 1 COMM n OTHER 1 I TYPE OF CONSTRUCTION I I BLOCK I I FRAME I I STEEL n OTHER I I DESCRIPTION OF WORK G•JU (J 3 / t U 4C S / -Na `-- BUILDING SIZE SQ FOOTAGE �v2� `7 HEIGHT BUILDING $ 0 rj0 O o a VALUATION OF TOTAL CONSTRUC •N :. r / ELECTRICAL $ AMP SERVICE 11.1 PRO - - - war - . ® W.R.E.C. I I PLUMBING $ .7 4 400 I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO a Q GAS 1 1 ROOFING I 1 SPECIALTY I 1 OTHER /,f FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES ri NO BUILDER ` / COMPANY 1- L - 7 -0 ,- 1 — { l/� / ✓f F SIGNATURE �j,/`� R EGISTERED MM. FEE CURRENT NZ= Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # I PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N Address I License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N 1 Address License # I OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address I License # I 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 "' restriCttcrnns" 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. 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: 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) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this s by by Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped Pasco County Parcel: 02- 26 -21- 0010 - 05000 -0030 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes Other Parcel Cards: 1 1 2 1 3 Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: I Weekly Archive - Saturday, April 11, 2009 I Parcel ID I 02- 26 -21- 0010 - 05000 -0030 (Card: 001 of 003) Classification 11 28 - Rental MH /RV Park Mailing Address Property Value SLEEPY HOLLOW MOBILE Ag Land $0 _.. ESTATES INC Land $539,759 38615 LANSING AVE Building $54,685 ZEPHYRHILLS, FL 335426312 Physical Address Extra Features $957 38741 COUNTY ROAD 54 Market Value $595,401 ZEPHYRHILLS, FL 33542 -2760 Assessed (Save Our Homes) $0 Legal Description (First 4 Lines) ZEPHYRHILLS COLONY COMPANY Taxable Value $595,401 LANDS PB 1 PG 55 THE WEST 1/2 OF TRACT 50 LESS THE NORTH 85.00 FT THEREOF & THE WEST 1 Land Detail (Card: 001 of 003) I Line II Use IlDescriptionll Zoning II Units II Type II Price 11 Condition II Value 1 1 11 0220 11 RV PARK II 00M3 II 114.00 II UT II $5,203.0011 0.91 11 $539,759 1 Additional Land Information I Tax FEMA Acres 4.00 Area 30ZH Code X Residential Code RRVPCL2 Commerical Code RRVPCL2 I Building Information - Use 12 - Stores / Office SFR (Card: 001 of 003) I Year Built 1936 Stories 1.0 Exterior Wall 1 Minimum Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None Flooring 1 Asphalt Tile Flooring 2 None Fuel None Heat None A/C None Baths 1.0 Line II Description II Sq. Feet II Repl. Cost New 1 1 11 BAS II 672 II $13,910 2 I FOA II 84 II $435 3 11 UOP I I 168 11 $518 Extra Features (Card: 001 of 003) Line II Description I Year 11 Units 11 Value 1 I1 SHUFFLE 1 1974 11 1,600 II $600 2 II CANOPY 1 1974 1 680 II $357 Sales History Previous Owner 1 M H P GROUP TWO L C Year 11 Month 1 Book /Page 11 Type ll Amount 2000 II 10 1 4482 / 0710 1 WD II $0 1997 II 10 I 3818 / 1909 I1 WD II $0 1997 10 1 3818 / 1907 11 QC 11 $ http: / /www. appraiser. pascogov.com / search /parcel.aspx ?sec= 02 &twn= 26 &rng=21 &sbb =0... 4/20/2009 - FENCE CONTRACT --- --- PASCO FENCE COMPANY 4254 Plum Street Zephyrhills, Fl. 33542 (813) 788 -5642 PROPOSAL SUBMITTED TO: DATE: Sleepy Hollow R.V. Park 4/13/09 ADDRESS: PHONE: 386 327 yi C A J K cr CITY: Zephyrhills, Fl We hereby to : Take down existing wood fence and replace with new pressure treated fencing. Fence will consist of : 3 1/2" x 3 1/2" Pressure Treated Posts. 1 1/2" x 3 1/2" Pressure Treated Runners. (3 Per Section ) 5/8" x 5 1/2" Pressure Treated Fence Boards. We Propose hereby to furnish materials and labor - complete in accordance with the above specifications for the sum of: Thirty Eight Hundred Dollars $3,800.00 Payment to be made as follows: $1,600.00 Down Payment. $1,600.00 Second Payment After Job Is Half Completed. $600.00 Balance Due Upon Completion Of Job. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Note: This proposal may be withdrawn by us if not accepted within /days. Authorized ����J]°'° signature e%l eft Okikeilt Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are uthorized to do the work as specified. Payment will be made as outlined above. Signature:. Date of acceptance: 4 /20/09. BUILDING DEPT. COPY ACORD TM CERTIFICATE OF LIABILITY INSURANCE 1 DATE o' PRODUCER (813) 788 -5715 FAX: (813) 782 -6445 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Accurate Insurance Mart HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 38232 - 5th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Zephyrhills FL 33542 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Tapco Underwriters 900234 WILTON ENTERPRISES INC, DBA: KAREN WILTON INSURER B: 4254 PLUM ST INSURER C: INSURER D: ZEPHYRHILLS FL 33542 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YY) DATE (MMIDD/YY) , GENERAL LIABILITY EACH OCCURRENCE $ 100,000 DAMAGE TO RENTED $ 50, 000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) A CLAIMS MADE n OCCUR MEOW -J 4/20/2009 4/20/2010 MEDEXP(Anyoneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 100,000 GENERAL AGGREGATE $ 200, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 200, 000 - 1 POLICY n JECr fl LOC • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ I OCCUR n CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 1 TORY LIMITS 1 I ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS FENCE ERECTION CONTRACTOR CERTIFICATE HOLDER CANCELLATION (813) 788 -5267 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City Of Zephyrhills EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Permit department 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 5335 8th St FAILURE TO DO SO SHALL IMPOSE NO 0= (J0AUON 0 ' =1 ■ OF ANY KIND UPON THE Zephyrhills, FL 33540 -4312 INSURER, ITS AGENTS OR REP' F • /' AUTHORIZED REPRESENTA r r l ACORD 25 (2001/08) ©ACORD CORPORATION 1988 IIJCA.= ,nano, no., Pono 1 nr 1 44. ; 0 0. ( f Map - Pasco County Property Appraiser Page 1 of 1 Pasco County, Florida Section 02, Township 26, Range 21, 1.4 miles ENE of Zephyrhills I li Mike Wells s d- ; << Rkniarkl- EW[GODFREY.LM 11111111 Lt; ' �� When I click on the ma w - Quick Info r. l .1:.„:":„.: a Z Intl f Full Info* c Zoom In 1.Sx '' _ 1" l' '' .- ° Choose Layers: `" ` RE MORAA "° �f` votifr E Parcel Lines (Default)' 1 i , -- Parcel Labels (Automatic) + may» gp .� � ` ` LANSING AV , ry ° c . , tee 'An ° _,,, m . Street Names (Automatic) 1 ft - Color q ®rf ? . e =, ...... -:.. -__ -WARMINSTER.LN fir 4* . Z i ' , ; ,. Select Additional Layer -- Select Grouping E, a,. R � � : — Draw] Help Pr Image Size / Quality: 'i . (Quality applies if ima, a is sel cted)t � {Q Y PP 9 rY e 5 q € i Low Quality (Fast / ]PEG) A Links of Interest: \ Recent Sales in this area o N Search for property in Pasc M Map Search 1,582 Feet MapID# 5810348 Street name information is maintained by the Pasco County BOCC GIS Department, http://maps.pascogov.com/maps/showmap.asp e=PascoMap_New&mdi=5 810348 &o... 4/20/2009 111101111111111111111111111111103111111111111111 NOTICE OF'COMIVIENCEMENT 2009055226 Permit No. Rcpt : 1239120 Ree : 10.00 DS: 0.00 IT:0.00 � hLJ J 04/22/09 Dpty Clerk Property Identification No, � J �/ E ANPs /'/> "k r £s^ A. r!f' ir , � of � Feg_ trhir Ad f- '_O `J( 1 / , • 2 /e THE UNDE IGNED here y g rms you t �t�t the improv d r nt wi be m e w. ce re property, and m ecor.. r ce with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 2 yyty //S eOLo y G O s e) Le'Sr ,, ; 1.Description of property (legal desc lion:) 0 2 Y-4 ( ©v ' a (' ` .9 n 0 .`, a) Street Address:. 7Y 7 '/( C / 5S' c-' g• T Z ' .f/ / G 343 V t - 2.General description of improvements: -26 ez_Ad. C GId a A. F6it/Ce . 3.Owner Information �/ _� !u , ,S . 4...4,N S 4 ) 14:/£ a) Name and address: S ( l fy0 / /off 2_ (1 - /4, -/ - �e - " - Z /�S A4 ; ltr b) Name and address of fee simple titleholder (if other than owner) c). Interest in property ACo ntractor Information a) Name and address: (,✓ ft. Ta,✓ 4iv'T .30 Pa < S£3 54.2.S f' C. Ve' ST.- Z ` / /sue 375S Z, \( Q b) Telephone No.: . Ay) 7- D d?ri% 5'4,34 z_ Fax No. (Opt.) ' V 5.Surety Information . u , a) Name and address: ; ' b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) Gil; 6.Lender o c , • a) Name and address: n xi Phone No. 7 X C9 . Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: Z a) Name and address: GIs 2 b) Telephone No.: Fax No. (Opt.) °- S.In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 3 713.13(1)(b), Florida Statutes: ' t o a) Name and address: n b) Telephone No.: .Fax No. (Opt.) _ ' -o e 23 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is m o >r specified) _ a • 03 z WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF rn COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, A 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. -.17:),A-7,, /yAJ STATE OF FLARIDA' ".° ANNIE LAURA BALLARD- DAVENPORT �t COUNTY OF PASCO • *: MY COMMISSION # DD637967 ✓� — - - - 'n. LC -4 . c Signature of • O or Authorized Officer/Director/Partner , :. .er EXP IRES February co 2011 (400 3 7) 39B 0153 Floridallo a v,c Sere. corn 9 • •-•`L7"2:kj✓ Print Name . ( 1 The fpregoing instrument was acknowledged before me this day of / I • 20 0 q, by ) 0 )Yiki t. ) . i h� as (type of authority, e.g. officer, trustee, attorney in fact) for . (name of party on behalf o whom instrument was executed). i 11 Pa Personally Known OR Produced Identification Notary Signatur/��, _ , �► Type of Identification Produced ' t - i - �J (, Name (print) CA )Y� t Q . _\._ Od1 ■1 i t CAf W∎p 9,) LY - %Oo- S-) -007 -O - - . Verification pursuant to Section 92.525, Florida Statutes. Under penalties of 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. . Signature of Natural Person Signing Above FORMSINOC,rvsd2007 • STATE OF FLORiCA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THH6.DOCUMENT ON FILE OR OF PUBLIC RECetign I0HIS OFFICE WI NESkMMIY HAND A l SE1. THI //�� DAY OF A A S •' EIL, CLE ' i& OM' OILER BY A4,11.:_. A DEPUTY CLERK'