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HomeMy WebLinkAbout10-10331 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10331 BUILDING PERMIT Permit Number: 10331 Address: 38335 EUCALYPTUS DR Permit Type: RE -ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: 02- 26 -21- 0240 - 00000 -0110 Improv. Cost: 14,080.00 ;:- Date Issued: 4/06/2010 Name: LOGAN, JULIA ANNETTE TRUST Total Fees: 105.00 Address: 38335 EUCULYPTUS DR Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/06/2010 Phone: (813)788 -2665 Work Desc: REROOF 16 SQ- TOTAL COST FOR 4 BLDGINGS- 38335/38339/38343 /38347 MAN R• • IN IN R - • • • IAL 105.00 ) ,,,sztusrmaAorfv, - -vt.'"M - 7777 4 '*:tif,:::;!:T7,27 - 1tr.L,:40/A. DRYI - •• IN - TAPE JOINT OOF INS FINAL 1 3 -1 u 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 improv ents to your property. If you intend to obtain financing, consult with your lender or an attorney before:- . rding your notice of commencement." ler CONT TOR SIGN '4 PERMIT OFFI EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 -780 -0020 City of Zephyrhilis Hermit Appticatlon rax -o I.7- ruu -uuG I Building Department Ib 3 3" Date Received Phone Contact for Permitting p I'D -- ;cx 1 ittiiliNi h ffittifef {¢ — - Owner's Name Ag � l!1l\ ac Lvi 'k WF Ow -114(3 w ner P o ne Number Owner's Address : a Owner Phone Number —� Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address rr �p JOB ADDRESS ' ... t/ JOB I, Teo & kC. F I ! t "` S ✓ LOT # SUBDIVISION D BUJ PARCEL ID# ` .Qt5L1 Z `—LI -02 -OAP (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN 1 1 MOVE I I DEMOLISH 611 INSTALL REPAIR � �.r oorf- PROPOSED USE I 1 SFR I I COMM I I OTHER 15 \n (5I4i, G&Y t 1 t\f V \ 1 \GIC I TYPE OF CONSTRUCTION (] BLOCK I I FRAME I I STEEL ( I OTHER I DESCRIPTION OF WORK �� rvn c.)l.)( S /A n (si QS J X1 5t BUILDING SIZE SQ FOOTAGE Q HEIGHT V BUILDING $ 1 � ( r ��� [� t VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ ``'1 V AMP SERVICE 1 ( PROGRESS ENERGY ( I W.R.E.C. ( 1 PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS [ ROOFING I I SPECIALTY [ I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES I I NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I • Address License # I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y / N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED ( Y/ N I FEE CURRENT Y/ N I Address 1 License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address / License # ,� OTHER \ i / COMPANY 4 n R OO'C�c : SIGNATU Li �� .. REGISTERED I Y/ N I FEE CURREf I Y/ N I Address ) (oy ( n : 411/I S 3 3F / License # CCU- i SSo5 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 wl 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 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 YO R NOTICE OF CO MENCEMENT. FLORIDA JURAT 17.03) +. OW - 0 • EN 4- - _ or∎ ���. CO �; • . t�� � �r Subscribe' - • rI� to (or affir P'ef:' IMP 5ubscrib �T %sworn to (o �j1 ed) befor �� _6 by `f- (r by Who Is /are persgally known to me or has /have produced Who Is /are personally known to me or has//haderr produced as identification. 0 z! - Notary Public ice= / 114- Notary Public • � , :II - ; � P +_ Commission DD 621833 Y ; .: JACQUELINE BOGFS Com sion o. t , , Co i ssio • . • ;,,,, :Y Commission DD 621833 Expires December 12 9 010 • Rr . �v dRt •` �. ,, a "i "au an typed, Name of Notary typed, pr�nted or star"fi19 WO- 8857018 Name of Notary typ printed or stamped P � S• bk 'a 9, Tote. ick A Division of Ryman Construction, Inc. c 3 License # CCC 1325505 • P 4 ' (11 33/ Customer: Driftwood HOA Date: 3 -30 -10 Code: 064SRR / 0 32- Address: 38335, 38339, 38343, 38347 Eucalyptus Dr. Zephyrhills, FL. Contact Numbers: Home: 813- 780 -6737 Cell: 813- 469 -7075 D 3 Job Description: J 3 1. Perform a complete tear off of existing shingles 2. Re -nail deck according to code 3. Dry-in pitched roofs with #30 felt paper 4. Install new 5" drip edge around perimeter of roof Color: white 5. Install all new lead boots 6. Install wire mesh at top of all lead boots 7. Install all new general roof vents (exhaust vents) 8. Install new 30 year fungus resistant shingles 9. Brand: GAF/Elk (Timberline Prestique Series) Color: Slate 10. Install 80' of new aluminum ridge vents Color: Grey 11. Remove existing glass skylights, clean flashing and re- install skylights 12. All roof related debris removed from job site 13. All materials, labor, and permits furnished 14. Provide 5 year labor warranty Additional Notes: All warranty related service calls are free for the duration of the warranty period. Ryman Roofing, Inc. hereby agrees to provide (1) free non - warranty related service call per address as listed above if needed. All non warranty related service calls (excluding the (1) free service per address) are subject to an hourly service fee charge of $55.00 per man hour plus material cost with a minimum (I) hour charge. A free estimate will be given to all non - warranty related repairs if applicable. Additional Items: Bad '/z" plywood /OSB will be replaced at a cost of $1.25 sq. ft. in the roof field. All other wood work /additional labor such as, but not limited too, metal substrate repairs, rafter replacement, fascia board replacement, 1 x decking replacement, etc. will be charged at a rate of $2.50 per linear foot plus the cost of materials. (k'�) Payment to be made as follows: 1/3 down, 1/3 upon material delivery, balance upon completion Plsnent Method: c - 7a,}z,1) . T (� 4 -3 - Total Bid $14,080.00 This becomes a binding contract upon acceptance of proposal. Purchaser acknowledges a copy of this contract. 1. All material is guaranteed to be as specified and completed in a substantial workmanlike manner. 2. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work. 3. Labor warranty does not cover damage to roofs caused by lighting, hurricane, tornado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due to settlement, distortion, failure or cracking of roof deck, walls or foundation of a building. 4. Workmen's compensation and public liability insurance on above work to be taken out by RYMAN ROOFING or its sub- contractors. 5. RYMAN ROOFING, INC. is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deteriorated decking, fascia board or any other additional materials/labor that maybe needed and is not described above will be charge as an extra unless otherwise stated herein. 6. This contract is subject to final approval by RYMAN ROOFING, INC. and is the entire agreement of the parties and no other written or other forms will be recognized. 7. A charge of 1 .5% will be made on all unpaid balances after 30 days plus attomey's fees. 8. A 4% processing fee will be added to all credit card orders. This proposal may be withdrawn by Ryman Roofing if not accepted in (30) Days * Prices subject to change without notice unless proposal has been accepted by both parties The above prices, specifications and conditions are satisfactory and are hereby accepted. You are Authorized to do the work as specified above. Date: .y/rp n Signature: ; I ,,1 ./?c) • �� �✓ Date: r l O Estimator: Ryman Roofing, Inc. will not be held responsible for any satellite signal loss, septic tank, sod, shrubbery, paint, concrete, pavement, sidewalk, gutters, down spouts, screening of any type, and/or any other type of piping damage that may occur from the above referred job. 36413 SR 54 • Zephyrhills, Florida 33541 • Telephone: 813 - 782 -6094 • Fax: 813- 788 -6773 Owner Information: Logan Julia Annette Trust Logan Julia Annette Trustee 38335 Eucalyptus Drive Zephyrhills FL 33542 41 (O 5 Strode William L & Katherine M � 38339 Eucalyptus Drive Zephyrhills FL 33542 #10 Brinkerhoff James A & Pauline i Q '51 38343 Eucalyptus Drive Zephyrhills FL 33542 V Ladd Marjorie ' D 111711 38347 Eucalyptus Drive Zephyrhills FL 33542 Legal Description: Driftwood Phase IV -A PB 32 PG 98 Lot 11 & West 2.67 FT Lot 10 OR 4033 PG 1920 Driftwood Phase IV -A PB 32 PGS 98 -99 Lot 10; Less The West 2.67 FT Thereof Driftwood Phase IV -A PB 32 PGS 98 -99 Lot 9 Less The East 2.67 FT OR 4444 PG 1083 Driftwood Phase IV -A PB 32 PGS 98 -99 Lot 8 & East 2.67 FT Of Lot 9 OR 4141 PG 836 Parcel ID: 02- 26 -21- 0240 - 00000 -0110 02- 26 -21- 0240 - 00000 -0100 02- 26 -21- 0240 - 00000 -0090 02- 26 -21- 0240 - 00000 -0080 ASPHALT SHINGLES 2007 FBC PRODUCT APPROVALS MANUFACTURER PRODUCT TESTS PASSED MIAMI -DADE FL LESS THAN 110 MPH 110 MPH AND HIGHER ASTM ASTM TAS ASTM ASTM TAS 03161 D7158 107 D3161 D7158 107 CLASS 0 CLASS G CLASS F CLASS G CERTAINTEED CLASSIC HCRIZEN X 5444.1 CARRIAGE HOUSE X 5444.1 CENTENNIAL SLATE X 5444.1 GRAND MANOR X 5444.1 LANDMARK X 5444.1 LANDMARK PLUS X 5444.1 LANDMARK PREMIUM X 5444.1 LANDMARK TL X 5444.1 PRESIDENTIAL SHAKE X 5444.1 ' PRESIDENTIAL SHAKE TL X 5444.1 HATTERAS X 5444.1 PATRIOT X 5444.1 GAF -ELK ROYAL SOVEREIGN X - 10124.1 CAMELOT . X CAPSTONE 10124.1 X 10124.1 COUNTRY MANSION X 10124.1 GRAND CANYON X • 10124.1 GRAND SEQUOIA X 10124.1 GRAND SLATE X 10124.1 GRAND TIMBERLINE X 10124.1 TIMBERLINE ARMORSHIELD II X 10124.1 TIMBERLINE PRESTIQUE GRANDE X 10124.1 TIMBERLINE PRESTIQUE 30 X 10124.1 TIMBERLINE 30 X 10124.1 TIMBERLINE PRESTIQUE 40 X 10124.1 TIMBERLINE 40 X 10124.1 TIMBERLINE,PRESTIQUE LIFETIME X 10124.1 TIMBERLINE ULTRA X 10124.1 SLATELINE X 10124.1 OWENS CORNING OAKRIDGE PRO 30 X 10674.1 OAKRIDGE PRO 30 AR X 10674.1 OAKRIDGE PRO 40 X 10674.1 OAKRIDGE PRO 40 AR X 10674.1 OAKRIDE PRO 50 X 10674, OAKRIDGE PRO 50 AR X 10674.1 DURATION X 10674.1 DURATION PREMIUM X 10674.1 CLASSIC X 10674.1 CLASSIC AR X 10674.1 SUPREME X 10674.1 SUPREME AR X 10674.1 PROMINENCE X 10674.1 PROMINENCE AR X 10674.1 BERKSHIRE X 10674.1 WEATHER GUARD HP X 10674.1 TAMKO GLASS SEAL AR X 1958.2 ELITE GLASS SEAL AR X 1956.1 HERITAGE 30 X 1956.3 HERITAGE XL X 1956.5 HERITAGE 50 X 1956.4 HERITAGE VINTAGE AR X 7154.1 Pasco County Parcel: 02- 26 -21- 0240 - 00000 -0110 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, April 03, 2010 Parcel ID 02- 26 -21- 0240 - 00000 -0110 (Card: 001 of 001) I Classification I 01 - Single Family Mailing Address Final 2009 Value LOGAN JULIA ANNETTE TRUST Ag Land $0 LOGAN JULIA ANNETTE TRUSTEE Land $20,547 38335 EUCALYPTUS DR Building $67,898 ZEPHYRHILLS FL 33542 -6644 Physical Address Extra Features $1,590 38335 EUCALYPTUS DR Market Value $90,035 ZEPHYRHILLS FL 33542 Assessed (Save Our Homes) $72,078 Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non - School Additional Homestead Exemption - $22,078 See Plat for this Subdivision .1 DRIFTWOOD PHASE IV -A PB 32 PG Non - School Taxable Value $24,500 98 LOT 11 & WEST 2.67 FT LOT School District Taxable Value $46,578 10 OR 4033 PG 1920 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. I Land Detail (Card: 001 of 001) Line II Use IlDescriptionl Zoning Units I Type II Price II Condition II Value I 1 II 0100 II SFR II 00R4 (I 1,640.00 11 SF II $11.85 (I 1.00 II $19,434 I 2 II 0100 (I SFR II 00R4 II 484.00 _1I a 0 $2.30 II 1.00 II $1,113 1 Additional Land Information Acres II 0.05 II Tax Area 11 30ZH II FEMA Code II X (Residential CodeII DRIFLP1 I Building Information - Use 07 - Single Family Villas (Card: 001 of 001) Year Built 1998 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Sheet Vinyl Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line ( I Description (I Sq. Feet p Repl. Cost New I 1 II BAS II 1,191 0 $77,391 I 2 I UST I 1I� 28 3 ( FOP 51 II $715 I I $845 I Extra Features (Card: 001 of 001) I Line 0 Description I Year II Units II Value I 1 II FDA I 1998 II 300 $ 5 I 2 II 8CBWS I 1998 II 40 11 $101 3 II SWC I 1998 II 135 II $248 I 4 II CON PTO [_ 1998 (I 96 11 $176 I Sales History I Previous Owner I GENERAL HOME DEVELOPMENT CORP I Year 0 Month I Book /Page II Type II Amount 1998 0 10 I 4033 / 1920 II WD II $0 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 02 &twn= 26 &rng=21 &sbb= 0240 &bl... 4/6/2010 11 11111 111111111111111IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII 2010047108 Rept :1297859 Rec: 18.50 DS: 0.00 IT: 0.00 04/06/10 A. Giard, Dpty Clerk PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER 04/06/10 09:4 am 1 of 2 OR 8K 8304 PG 406 NOTICE OF COMMENCEMENT IU Permit No. aG. -a1 - c io 00000- O° 'O 0a- akr-1- (Dago- 0o070- Qcx‘ C Property Identification No© cp_ c 9 1 1 - O 4D - (300)- 0 k 10 THE UNDERSIGNED hereb i fo` orms a th improvement �be � t ce real property, and in accordance with Section 713.13 of the�F lorida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. P h as.Q kv -.4 PS 3 R5- ° Lo - f - It t west 2.6? �'r L csT t o 0 K pr cc 1.Description of property (legal description:) to L • c r a) Street Address: • '9 , ' . 2.Getal improvements. _ - i ►i �� 3.Owner Information a) Name and address:L *A � a 4 a �� t b) Name and address of fee simple titleholder (if other than owner • " I 1 G� , �. qe._ lit c) Interest in property ) �� �G Cq t �� 3 S niractor Information Q t �[S Y i t a) Name and address: ' r'1al'1 Q 1 be r �Yl� 3 £ ' S [ ' r ( Y b) Telephone No.: Rg`� 7 I. 0 y -'r! Yl 5.Surety Information Fax No. (Opt.) ► L �t a) Name and address: b) Amount of Bond: c) Telephone No.: 6.Lender Fax No. (Opt.) a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices es or other documents may a) Name and address: y b e served: b) Telephone No.: 8.In addition to himself, owner designates the following perron to receive a copy of the (Opt.) Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. 9.Expiration date of Notice of Commencement (the expiration date is one year from the O date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE + OWNER AFTER COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS C THE EXPIRATION OF THE NOTICE OF 713, FLORIDA STATUTES, AND CAN RESULT' IN YOUR PAYING TWICE F UNDER CHAPTER ME PART I, SOU R PE A NOTICE OF MUST BE OR IMPROVEMENTS TO YOUR PROPERTY. INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTRE TIE FIRST COMMENCING WORT 'OR YOUR NOTICE of COMMENCEMENT. ORNEY BEFORE STATE OF FLORI COUNTY qr PS ' . vs Notary Public State of Florida ; � �/V OF! / '2 • Christian Ryman �� J1a�e ii" o, , : iature of Owner or Owner's uthorized Officer/Director/Partner/Manager � P � ' Ch My Commission DD751ti10 i �. Or Pir@s 01/24/2012 , �� � Print Name Oel�i The foregoing i4tn,t4nt•was ` ¢ vledged before me this 's da of P ' 1 ' /'r "ttopssoNsO as - y w 1 �1 , 2� i� by in fact) for (type of authority, (name o f party on behalf of whom ins , -. en executed). stee, attorney Personally Known ,VOR Produced Identification Notary Si _1 , `�� Type of Identification Produced Name (print) C ky,,,-, Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the fo the facts stated in it are true to the best of my knowledge and belief. regoing and that • FORMSlN0C,rvsd2007 Signature of Natural Person Signing Above b OR BK 8304 PG 407 2 of 2 Owner Information: Strode William L & Katherine M 38339 Eucalyptus Drive Zephyrhills FL 33542 Brinkerhoff James A & Pauline 38343 Eucalyptus Drive Zephyrhills FL 33542 Ladd Marjorie 38347 Eucalyptus Drive Zephyrhills FL 33542 Legal Description: Driftwood Phase IV -A PB 32 PGS 98 -99 Lot 10; Less.The.West 2,67 FT Thereof Driftwood Phase IV -A PB 32 PGS 98 -99 Lot 9 Less The East 2.67 FT OR 4444 PG 1083 , Driftwood Phase IV -A PB 32 PGS 98 -99 Lot 8 & East 2.67 FT Of Lot 9 OR 4141 PG 836 • STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBL ECORD IN THIS OFFICE WIT ESS MY HAND A OFFICI L SEAL THIS �Q DAY OF `/ f 20/0 PAULA O'NEIL, CLEt CDMPT ER BY : .�1d1tJ 7�YCLERK