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HomeMy WebLinkAbout09-9379 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9379 • BUILDING PERMIT Permit Number: 9379 Address: 39919 COG HILL LP LOT 118 Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24- 26 -21- 0030 - 00000 -0750 Improv. Cost: 15,600.00 ZEMITME to ate` `, Date Issued: 9/25/2009 Name: NHC -FL 115 Total Fees: 227.50 Address: 6991 E CAMELBACK RD STE B -310 Amount Paid: 227.50 SCOTTSDALE AZ 85251 -2493 Date Paid: 9/25/2009 Phone: (813)780 -9308 Work Desc: CONSTRUCT 18 X 13 SUNROOM /INSTALL SHED 10 X 16 SUN A ALUMN INC BUILDIN FEE 157.50 LE RICAL FEE 35.00 JAMES 0 MORTON ELECTRIC CO.,INC. PLUMBING FEE 35.00 SHOUPE ROY LEON JR 1 V C/ 6_ 04 /� / FOOTER 2ND ROUGH PLUMB MI C IN ULATI•N EILIN 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." /L/4//5 /o► CONTRACTOR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER --,yam — City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �Z. ‘ 1172' > Date Received: / 7i d / Site: 399'f9 #/74 Permit Type: /S( l3 S 'Win X - r 44 ' ---- Approved w /no comments: :;,3 Approved w /the below comments: Denied w /the below comments: ❑ Sun e Go i rn totl 1vf ) t42.-- (0,S1 C2 or AI C LA; i. l J �Cs.. (el This co I ent s - - % ,0 1 be kept with the permit and/or plans. / / 7 11Yeti' ''" C9/-4.-;-- " _'‘J K.+ vin Switzer ' lans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City Of Zephyrhills Permit Application s , , ^ rax -as /�u -uvL I Building Department Date Received --2 Z- -09 Phone Contact for Permitting -- 1 1 1 1 1 I 1 1 I I I I t 1 I LLLL1° /� /1�, t2 L Owner's Name 7 / /Y1/ ` /, 4 , // Owner Phone Number Owner's Address 3 9 f t/ / C'9 ,( 7 dip Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 ? f / 9 COy ,i/ d14.° LOT # Ni may, / - *' Oo 0 /' OoO OO O 0 a SUBDIVISION /2 al efYLC ci P ARCEL ID# �7 - °4 - °7 ls6�° v J (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR l I I ADD /ALT I I SIGN 1 1 MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 1 SFR I I COMM OTHER I G.(,Ccl) J? A/n TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME 1 1 STEEL I OTHER I g ( )(13 �/ DESCRIPTION OF WORK cS(.G.. e---00/1) f X- t BUILDING SIZE / 0 X /G � U'Md SQ FOOTAGE W 5/ HEIGHT BUILDING $ /y /OO tP VALUATION OF TOTAL CONSTRUCTION M I ELECTRICAL $ 90 1) AMP SERVICE PROGRESS ENERGY 1 I W.R.E.C. Elp r tl „1 rtova.: PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ti `' 'Y -; J4 I 1 GAS 1 1 ROOFING 1 1 SPECIALTY I I OTHER �� I' A U FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES Li NO tat Is BUILDER /Q, • COMPANY dal) V S' - 4 i!y ' _Z • c- SIGNATURE /5 REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address t try ir ,luf ELI Zl#9i4i -/i f/` 3 JW 1 License # ELECTRICIAN �C�- /�� /� ? i /� 3S` C90 COMPANY 7 E16c SIGNATURE `� �'/f REGISTERED I Y/ N I FEE CURRENT I Y / N 1 Address t t0• 410K /5 29041 - /, /- J `/ d3y //�� License # PLUMBER ���j� � / COMPANY ,Q-�/ � SIGNATURE / ) - / J 130) REGISTERED I Y / N I FEE CURRENT I Y / N I Address 3 49 vd rrQCq JJ /24 D .C. 3` of I License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # 1 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) 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 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, 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 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 AGEN1 4- /mow' 11 CONTRACTOR ' 1 r"" 1 Subscribe sworn to or affirm�e�i)before me this / Subscrbed and swum to (?r affirm efore me this /(b and y J) ci /5th, T 09 by c -atit e i Who is /are personally known to me or has /have produced Who i are personally known to me or has/have as dentifica produced as Ioentnication. Notary Public r/k� -� _ Notary Public Commission lo. Commission N . Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped --(=)6 --0V- COW- C)," (0 - do%) 39 ri /7 ri),.= ..:7:7_7_ Zetil) _ ‘ ... ______,..._ . ....... . _ rf. '.. .,- . , . r -4 i ! .- . ALL WORK SHALL COMPLY WITH ALL PREVAILING CODS, PLORIDA OVILDINt : • -,.. -', „ ., • • CODE, NATIONAL ELECTRIC (OpAND CITY OF ZEPHYRHILLS ORDINOCES j 3 oo , rn , x , .--, . , _ _....,.. .. . ! _ -..,. . , . . , . , -■ , . , / 9 ''' - -,--. , . , . , . . . . i 1 ' I 1 , • , T , APPROVED PRODUCT LIST 2007/2009 NAME/DESCRIPTION MANUF. PROD. # 3" RISER PAN TOWN & COUNTRY FL 9334 3" COMPOSITE PANEL METALS U.S.A. FL 2291 VINYL SIDING & SOFFIT STYLECREST FL 12231 HARDIE BOARD SIDING JAMES HARDIE FL 10477 WOOD WALL FRAMING: SP1 & SP2, STRIP TIES, H SERIES SIMPSON FL 10456 CONCRETE ANCHOR TITAN FL 2355 WOOD DECKS: JOIST HANGERS SIMPSON FL 10531 POST BASE & CAP SIMPSON FL 10860 WINDOWS & DOORS: SEE ATTACHED - Florida Building Code Online http:// floridabuilding. org /pr /pr_app_dtl.aspx ?param = wGEVXQwtD... C mi tunic Affairs at roCA (HOME Ashur DCA UCCAPR own coeancr DCh ` 1 BCIS Home Log In User Registration Hot Topics Submit Surcharge ; Stets & Facts Publications ! FBC Staff BCLS Site Map I Links Search 0 di 1 i; ` Product Approval I i lp--) USER: Public User II Community j Affairs I Product Approval Menu > Product or Application Search > Application List > Application Detail ∎y RAMPING FL # FL163 -R2 brcusion& Application Type Revision bEEWPN' Code Version 2007 tCb Application Status Approved I Comments °roe >., ' Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre@cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368-6922 Ext 208 Ralph @cws.cc Category Wi ndows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL163 R2 COI 510510A (Eng Eval Reo SH- 3500).odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/4/2009 9:53 AM Florida Building Code Online http:// floridabuilding. org /pr /pr_app_dtl.aspx ?param= wGEVXQwtD... Product Approval Method Method 1 Option D Date Submitted 11/10/2008 Date Validated 11/10/2008 Date Pending FBC Approval 11/14/2008 Date Approved 12/10/2008 Summary of Products FL # Model, Number or Name Description 163.1 3500 Single Hung 3500 Single Hung Limits of Use Installation Instructions Approved for use in HVHZ: No FL163 R2 II CWS -268A (SH- 3500).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: 3500 Single Hung Equal Lite H -050 55x91; 3500 FL163 R2 AE 510510A (Eng Eval Rep SH- 3500). df Single Hung Oriel H -C45 55x91 Created by Independent Third Party: Yes l Backl INextl DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. 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BCIS Home Log In User Regstration Hot Topics Submit Surcharge Slats & Facts Publications FBC Staff BCIS Ste Map Links Search r Product Approval USER: Public User Community, Affairs Product Approval Menu > Product Ayp_licationSearch > Applicatronl st > Appiotion Detai FL # FL153 -R3 Application Type Revision Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre @cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368 -6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Horizontal Slider Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL153 R3 COI 510863 (HS - 6200 Eng Eval Rep).pdf Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA 101/IS2/A440 -05 2005 ASTM E1300 -04 2004 of 2 3/3/2009 11:01 AM ; 01110 g m Z� $ + m 7o ri 09:4 PZ m2 z mmn D i O gmx g p' g O p <mm a y c1 m mv mt 1y mZ r - Z m 'i <mm O ym -Z co I T PI m 32 ism m my E 4- A M - i IIPatiZ.: s + O ® 1:12 ;1m . 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Florida Building Code Online nttp:iitiorla oinidmg.org/pripr_ app _atl.aspxrparam=vur vAyw Luug... csnr r�ity Affairs : I��k,i i ��. _, ,: roCA HOYE ABOUT DCA oCAPRDORAMS CONTACT OCA l BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts ' Publications FBC Staff ' BCIS Site Map Links Search d Product Approval 1 0 I USER: Public User Community; Affairs ' Product Atoroval Menu > Product or Anolication Search > Application List > Application Detail s cowmen' ! FL # FL161 -R3 ,sous vo TY Application Type Revision Oeat loElfr Code Version 2007 reieRodicY ` Application Status Validated MAiVRflpENr ►oPPtC CPTNE Comments Reviewed 3/8/09 - °,3°', - �'�' ' °tia' Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922. Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 MLaFevre @cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368 -6922 Ext 208 Ralph@cws.cc Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL161 R3 COI 511038 (Eval Rep Guardian Door).pdf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 - 97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/9/2009 2:01 PM Florida Building Code Online http : / /floridabuilding.org/pr /pr_ app _dtl.aspx ?param= wGEVXQwtDq... Product Approval Method Method 1 Option D Date Submitted 03/04/2009 Date Validated 03/04/2009 Summary of Products FL # Model, Number or Name Description 161.1 Guardian Hinged Door Guardian Hinged Door w/ Glazed Insert (Operable or Fixed). Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -176A (Guardian Door).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511038 (Eval Rep Guardian Door).pdf Rooms. Created by Independent Third Party: Yes 161.2 Guardian Hinged Door Guardian Hinged Door w/ Solid Core. Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -242 (Guardian Door no glass).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511050 (Eval Rep Guardian Door no Rooms. cilass).pdf Created by Independent Third Party: Yes —_I Back Next prA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. 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( W W D A � m Z a D O m. _ K O Z A C a Z m o m a _ KZ 1 ! -I - M FF c m -, 3 )ti O Co .71 Z a` K • m ,I co 0 D m c I- 3 c C F co Z 0 ti 0 o O `< w T (n O -4 — O v O O IIIIIIIIIIIIIII111111111111111111111111111111111111111111111 C�y 24 h. 9135993 ,THAT PART OF EAST 80.00 FT OF NW1 /4 & THAT PART OF WEST 1/2 OF NE1 /4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND LYING WEST OF MAJESTIC OAKS COMMUNITY -PHASE ONE AS PER PB 35 PGS 107 -112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC OAKS COMMUNITY PHASE ONE PB 35 PG 107 -112 LOT 1 THRU 16 INCL & LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 NOTICE OF COMMENCEMENT Rcpt: 1265126 Rec: 10.00 DS: 0.00 IT 0.00 09/24/09 Dpty Clerk Permit No. PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER Property Identification No. -V c1( -a2 : c0 -COMO -600 09/24/09 1 PG 4 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF CO NCE 1.Description of property (legal descri tion:) l-4f' /19 mod �� 1 V ,084.4 .CQ° /e aJ a) Street Address: J 9,19 9 "V' 40, et f • ‘330 2. General description of improvements: avL.p 0 OL Cc. k L /tX»2 J d 3.Owner Information / /- • / / a) Name and address: lTt rnC ea�"7 399/9 Cif s � o .6.-At % R1 JJS- b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4.Contractor Information a) Name and address: J✓de A.Snr .Zic, 6/cc/ / - /21 2 r H. - 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 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 re' eive 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 (irei COUNTY OF PASCOj �``f J ignature of Own or Owner's zed Officer/Director/Partner/Manager tL / c L Print Name !,�p f- �p The f9�egoing ' trument w acknowledged before me this o2 �� / o�- day of G/" / , 20 d9 , by t C-tO 1,� /nC� � as dwmr (type of authority, e.g. officer, trustee, attorney in fact) for d';-/P (name of party on behalf of whom instrument was executed). Personally Known/ OR Produced Identification Notary Signature Ib Type of Identification Produced Name (print) i Mvi 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 Abov. FORMS /NOC,rvsd2007 NOTARY PUBLIC - STATE OF FLORIDA Stacie Hartwig BO "givi Cer,,�;ssjon #DD652189 nes: 6, 2 NDED 7H Lx J w'L B 1 CO ., INC. STATE OF FLORIDA, COUNTY Of PASCO THIS IS TO CERTiFY THAI "THEFOREGOk 4G IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNE MY HAND AN OFFICIAL SEAL TfhIS DAY OF - : 2 PAU A S. 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