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HomeMy WebLinkAbout10-10849 CITY OF ZEPHYRHILLS 5335 - 8T1-1 STREET ' (813)780 -0020 10849 BUILDING PERMIT Permit Number: 10849 Address: 4826 AIRPORT RD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD /ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13- 26 -21- 0000 - 00100 -0022 Improv. Cost: 35,00000 I _ ,7 ' Date Issued: 8/27/2010 Name: HOPKINS, DWI HT TRUST& JOYCE Total Fees: 503.16 Address: 29010 TUPPER RD Amount Paid: 503.16 WESLEY CHAPEL FL 33545 Date Paid: 8/27/2010 Phone: (813)973 -1596 Work Desc: CONSTRUCT ,, A NEW OFFICE SPACE 600 SQ FT A . d, a . / m a. , a' ..- la .; a_,�.. �y,.4.,;.1 ' ;8, ? . °.ea ' �p ¢ A - 1 • - - ♦ I i :11 Li] 232.5' ` • L 5.00 JN ELECTRIC OF TAMPA BAY, INC. PLUMBING FEE 35.00 MECHANICAL FEE 35.00 CHRIS BAHR PLUMBING FIRE PLAN REVIEW FEES 165.66 SONNY'S DISCOUNT APPLIANCE, INC. ge i7 ot oi bctikir l''' ' 1- d 1/17 r-ii t, • .• - N• _•U ' PLUY: 1 U I 1 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." ....' - --- 6e-e--- go 41 /� 1 CONTRACTOR SIGNATURE PERMIT OFFI � R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - . - - ,4 City of.Zephyrhills BUILDING PLAN REVIEW COMMENTS -- Contract omeowner: Cl LI it.17%e_ Date Received: if /0 Site: 1::! 9d: Permit Type: Cy-e-47701-te Approved wino comments:0 Approved w/the below comments: 0 Denied w/the below comments: 0 LkIdS Ckct] I 6e i° 5 c-c-619 6 Ott% lA 1pftindg tex5 • This comment sheet shall be kept with the permit and/or plans ab- Kalvin Switzer — Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) 211J- MMU -UULU uity uLGepIIyII rtll nut !- 4JJm;duuil .....- ,...r....�, Building Department / n �r 0 — - r L �/] Date Received Phone ► C � o r nt ta a ct for Permitt Owner's Name IbIT I7 1 0 a )V J Owner Phone Num._ ,i bE UM Owner's Address �, a m1ri � , er Phone Number 1 Y ,� , i 159 to ��eW r flat. AM sw Alp 7 ■ + I ) Fee Simple Titleholder Nam- . -- - - Owner Phone Number Fee Simple Titleholder Address ,,./ ------' JOB ADDRESS t V (v F 1 R P oR r R b. Z P 1-1 V 1 tyl, LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR _ ADD /ALT SIGN 0 n DEMOLISH INSTALL REPAIR PROPOSED USE r SFR Q COMM r1 OTHER I TYPE OF CONSTRUCTION r BLOCK I= FRAME I I STEEL r 1 f I � DESC 6cJ1 (^ Nr^ C Tr Li /vV F / ct_c� it [ �-4 r v. BUILDING SIZE SQ FOOTAGEI C.G HEIGHT ! r I =UILDING $ ' 10 5 VALUATION OF TOTAL CONSTRUCTION 7:-/° Fit L $ AMP SERVICE ` t, o I PROGRESS ENERGY r W.R.E.C. LUMBING '$ v// S k"--1 / O i yf�rr/ • I t.ANIECHANICAL $ � 0 VALUATION OF MECHANICAL INSTALLATION 1 IGAS r ROOFING Q SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA rIYES NO S 1 ,? BUILDER 1��- COMPANY R l 0-4 • R D 7 OR TO - -- , SIGNATURE F REGISTERED /® FEE CARREL ti L i` Address 2 ?o /0 /UP�t 2 > Ucense # I I V 0 G , / ` / .1 Emnp liguilimimm ELECTRICIAN �_T1 1 S f �� J REGISTER COMPANY G� F. G/C L / ° l�f9l E SIGNATURE X9 I • �� f , D ©AjI FEE CURREN EPEE — Address ; 4 ` `LV) Cif p,2 e / .2 CFLG P' p — ! Ucense # L G G1L�C) �. PLUMBER V f 1 l'r l / W� ! NF r "�� PfIiG�^1i7�_ �v /v�� I SIGNATURE z � �'L REGISTERED H R 1 s HRH R I LUM B) NC S7 eri- c E Address Di �� A reffIl g 0 Ucense # C/' / f e 2 6 V S( I � _,� Z ,-0 /� J� s n r , l� ?AsGJ Rik_ aJ /0 /r! SIGNATURE � Z- M So/ V f V `/ o rs C I`� V. / c I ` Address / s• i2% */ -/ ,, f/ Ucense OTHER COMPANY . coil / (/ i e 4 SIGNATURE REGISTERED I Y/ N I FEE cURREt I Y/ N I Address Ucense # 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 Ufe 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 $7500) " Agent (for the contractor) or Power of Attomey (for the owner) would omeone with.rwtariiea )etZ {Groin owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs If shingles Sewers Service Upgrades A/C Fences (Ptod$rxvey/Footayb) • 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 " which may be more restrictive than County regulations. The Undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBlL111ES: If the owner has hired - a contractor or contractors to undertake work, they may be *squired to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner a d 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 ggply for the intended work, they are advised to contact the Pasco County Building inspection Division— Licensing S ction dt 727 -847 - 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the ontIactor(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. siggg TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURC V ERY PEES: :ion of n d ned -U a nds that Transportation Impact Fees and Recourse Recovery Fees may ply 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 thatTransportation 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 (Chapter713, 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 govemment 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, WaterdWastewater 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: y 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 corinection 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 Tots 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, th \job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROV MENTS TO YOUR PROPERTY. . IF YOU INTEND TO B AI F E ENT., CONSULT WITH YOU - .�•v, "_ R O - • • TTO - 4 _ - FO - 1 _ 4 i ma FLORIDA JU - WNW .. OWNER OR AGENT _ • (or i� 1 befo f j :nd • • ,• ora J�,.. i w 0 " fAT by - _ cr. U r hi 41/ b y _.t- ..1,07•Z .. / • 1= , re P� - to me o as/ha a produced o f = _ , naily known to me ' de - I duced as i ttfication. • / •�� f ublic (�f/' • m • • Commission i a • No� .•. . ` 1 it .: Commission DD 7 - , I " • em 11 / i ii • f1le t, 2012 Name of Notary ' , , r February 22, 2O1 2 rR u , Bonded Thru Troy Fein Insurance 900.385.7019 r • „ Bolded TlNU Troy Fein kWKarioe 8003957019 . . • , . . • , • : _ • ._ ; i •,....si,..,..7„,.. . ,„„. le,. ; ..:T*'"..rti.(t‘..:;r:i..?e5..i•%21.Dt7e.ilSi ■• . al # -.,9fc ir 5-:- / . ,„-...•.:.,..„...,,,....-,_•., .. ,- ,,, .....,....; ,,,....--.1--, -, - ),:-.-p,...,*•,,At •-, • e i . „--...y..,. ,....-....,...,,,...4.:,.-.- -, . J • • - ,....-:. • .- • ..',I' ,:., •'.. 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Ti . 9 ! . . . . . . . . . • . . l 'd 17I7Z9 '°N 01110313 NC INV9S:Ol OlOZ Pasco County Parcel: 13- 26 -21- 0000 - 00100 -0022 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, August 21, 2010 Parcel ID 13 26 - 21- 0000 - 00100 -0022 (Card: 001 of 001) Classification 48 - Warehousing (Block or Metal) Mailing Address Property Value HOPKINS DWIGHT TRUST & Ag Land $0 HOPKINS JOYCE TRUST & Land $51,044 HOPKINS DWIGHT & JOYCE TTEES Building $138,314 29010 TUPPER RD WESLEY CHAPEL FL 33545 -4310 Extra Features $7,344 Physical Address Market Value $196,702 4826 AIRPORT RD Assessed (Non - School Amendment 1) $196,702 ZEPHYRHILLS FL 33542 -5259 Legal Description (First 4 Lines) Taxable Value $196,702 COM NW COR SECTION 13 TH N89DG 54' 37 "E 1339.57 FT TH SOODG 07' 19 "W 30.00 FT TH N89DG 54' 37 "E 30.00 FT TH Land Detail (Card: 001 of 001) I • I Line II Use ILDescription1 Zoning it Units JI Type II Price 0 Condition Q Value WAREHOUSED OOLI II 12,000.00 iI SF I) $1.42 II 1.00 I) $17,040 I I 2 () 4800 HIWAREHOUSEII OOLI II 38,000.00IJ SF II $0.66 II 1.00 Q $25,080 I I 3 I) 4800 IIWAREHOUSEII OOLI 1 22,310.00 I SF 11 $0.40 II 1.00 II $8,924 I 1 Additional Land Information I Acres II 1.66 II Tax Area iI 30ZH I FEMA Code I X I Commerical Code IZAP4AA I Building Information - Use 80 - Metal Buildings (Card: 001 of 001) I Year Built 1985 Stories 2.0 Exterior Wall 1 Modular Metal Exterior Wall 2 None Roof Structure Steel Frame or Truss Roof Cover Min Roof(Corr. or Sh M) Interior Wall 1 Masonary or Minimum Interior Wall 2 None Flooring 1 Finished Concrete Flooring 2 None Fuel None Heat None A/C None Baths 1.0 I Line I Description _iI Sq. Feet I Re 1. Cost New J I 1 BAS 11 6,700 I) $161,135 I 2 11 CAN II 1,028 iI $7,407 ( 3 I AOF I) 840 I $34,343 4 FUS I 840 I $20,202 1 Extra Features (Card: 001 of 001) I Line II Description II Year II Units iI Value 1 II PAV ASP II 1985 I I 21,928 I I $4,440 I 2 I I CLFENCE 1985 I) 5,400 II $1,904 I I 3 I UDU -M 1990 I 1 I $1,000 Sales History Previous Owner HOPKINS DWIGHT L & JOYCE A Year Month Book /Page I Type I Amount 1996 08 3630 / 1105 I WD I $0 0' 3630 / 1102 I WD I $0 1985 02 1396 / 0325 WD $60,000 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 13 &twn= 26 &rng=21 &sbb= 0000 &b... 8/25/2010 Zephyrhills Fire Rescue 6907 Dairy Road. Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett (r;fire.zephyrhills.fl.us Plan Review #: 10 -094 Project: Building Modification Number of Pages: 6 August 24, 2010 I have received and reviewed the plans for the building modification (in accordance to NFPA 101 Chapter 43) located at 4826 Airport Road and will allow the project to move forward. Please note that this review does not eliminate any further requirements as the project continues moving forward. By receiving permit, contractor acknowledges to comply with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Ensure the stair located at the loading dock (along wall) has a single handrail. 2. It is recommended to install additional emergency lights in the warehouse area if not already there as existing. 3. Certified fire extinguishers shall be positioned every 75' of travel distance within the warehouse. There shall be an additional one located in the office area. Inspections Required: 1. Final 4 0/ KERRY : ARNETT, FIRE MARSHAL ** *Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. HILLS '.F:►RE DEPARTMENT ZEPr Y� R Dad,.Zephyrh il ls, FL 33542 i 813 780 -OQ 6907y Bus {843)780 -004 Fax ( ) I Keith Williams I FIRE "SERVICE USER FEES , - r , ` 6 e67 'c- Contractor: / � "' ./ Occupan No.: , 0 U , Plan Business !,� Billing Address: �� � � L , � Business Name: ‘ � , ; c '/ ' - ��_`' ' . '' Phone No.: Business Address: Billing Business Phone No.: Billing Fax No.: Business Fax No.: Contact: 1 Contact: PERMIT FEE • FALSE ALARM FEE • INSPECTION FEES 1 st Alarm NIC PLAN REVIEW FEES • ,Sprinkler • $501 • N!C Annual NIC $ 2nd Alarm Site Plan NIC NIC ,Standpipes NIC s 1st Re- inspection $50; 3rd Alarm i Multi (Minimum i Charge 11 Fire Pump 3rd Alarm $100 ,� (Mi Charge $25.00 2nd Re inspection $100 ,Hoods $50' , DBL 3rd Re- inspection $250 p .5th Alarm 5150 0 Plan Revisions Fire Alarm' ` 4th Re- Inspection $50D LP Gas $501 ,6th Alarm $200 Business c $506 NON COMPLIANCE 5150 SPRINKLER SYSTEMS ( closed until II Natural Gas 0 - 25 Heads $50 violations corrected) II Fuel Tanks- per tank $50� 0 26 plus Head 51 D0 SPRINKLER SYSTEMS STANDPIPE SYSTEM Hydro Undergrounds $45 • • 00 Sparklers $1 100 0 Per Riser $50 Hydrostatic Test $65 per system II . Cam F Fire Works Fire $ FIRE PUMP Acceptance Test $45 per system ; Con Camp F ed Bum $1 5 0 Per Pump $100 Hydrant Flow $75 $50� II Hood/Duct FIRE ALARM SYSTEM Place Hood/Duct mbly $50 ,Fire Protection • $25 1 Annual 0 - 25 Devices $50 ARE ALARM SYSTEM Acceptance $50 0 26 plus Device $100 System Accep ,Flammable Application $5D I Annual SUPPRESSION SYSTEMS Recall Acceptance $50 $550 OTHER II Waste Tire Storage $50 Annual Wet $50 Fire Wall /Smoke W 1 G enerator < KW $100 Wall $15 per wall I CO2 $50 LP Gas $25 Dry per tank ii Generator >30 KW 150 Other $50 Natural Gas $25 per system e Bio -Hazard Waste $100, Annual KITCHEN EXHAUST . Fumigation Tenting $50I 0 Hood/Ducts $50 Tent 10'x10' or greater $15 per tent , Torch Pot/Applied $50 OTHER $100', Annual LP Installation per tan $50 Fire Suppression $30 8 Fire Pump $45 • Fuel Tank Installation $50 System Acceptance Haz. Materials (Per Tank) $50 Exhaust Hood/Duct 530 El Natural Gas Installation $50 Re- inspection DBL (Per System) (other than annual) 0 Spray Booth $50 0 Inspection scheduled DBL 8 and cancelled less than i • 24 hours Construction Insp. NIC • ■ 8 Emergency Vehicle Acs $50 FALSE ALA I R I M • PLANS TOTA INSPECTION TOTAL PERMIT TOTAL 1 TOTALI 1 56 i • GRAND TOTAL t /65: 4Z. I 1 • Comments: 1 1 / I Date: �2 / l✓ 111 Insigctor _ e,i` . IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2010115038 Rept:132032B Roc: 10.00 DS: 0.00 IT: 0.00 08/11/10 A. Glard, Dpty Clerk PAULA S.O'NEIL,Ph.D.PASCO CLERK 1 COMPTROLLER 08/11/10 83 � 1 PG ef 1 163 NOTICE OF COMMENCEMENT Permit No. Property Identification No. ( -3 + � 4,..,, /d) o.r,. . n0 (.. ooa .. o a '.-71 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description ) .5 E a) Street Address: ■ L ", , L 1 IF— 2. General description of improvemen : 1 MEW Owner Information _ a) Name and address: IP . (...i. 4-- o e 1 ( 1 � t b) Name and address of ee simpl titleholder (if oth i than owner) M�( l+ c) Interest in property 4. Contractor Information a) Name and address: d `1. • . -r , . 1 . r O • • • l / e . — t / ( b) Telephone No.: ( 1 a ( .; f/ 14 V. Fax No. (Opt.) / / 5. Surety Information l. J a) Name and address: M ..-I4 b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6. Lender AA a) Name and address: / v' j Phone No. 7. Identity of person within the S . e of Florida design. e. by ow er upon whom notices o .then document .ay be s rved: a) Name and address: ', 4 , 0 / ` ,. ' ') o i ` .- ' ' ` . L b) Telephone No.: Fax No. (Opt.) OO S. In addition to himself, owner designates the following person to receive a copy of the Lien. is Notice as provided in Section 713.13(1) (b), Florida Statutes: a) Name and address: P‘--1) 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 COMMEN .EMENT. • STATE OF FLORIDA ... \\ --� COUNTY OF PASCO �l C� -�// Signature ofOwner 6r Owne horized fficer /Direct Partner /Man er J› , J tat+r P kws Print Name • The foregoing instrument was acknowledged before me this /D day of Ad&UJr , 20 /D , by . "".lt H / / ( ' u as o..,a+t t. (type of autho e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument w. - xecuted). Ili Personally Known " OR Produced Identification Notary Signature _ ,` ' , F.:0 s : DONNi1J.itOBM ON Type ofldentification Produced Name (print) f N ... ... �ON��72t . Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that T 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 FCRMS/NOC,rv.W2007 COM NW COR SECTION 13 TH N89DG 54' 37 "E 1339.57 FT TH SOODG 07' 19 "W 30.00 FT TH N89DG 54' 37 "E 30.00 FT TH SOODG 07' 19 "W 615.00'FT FOR POB TH N89DG 54' 37 "E 370.00 FT TH SOODG 07' 19 "W 189.68 FT .TH S88DG 13,' 58 "W 370.20 FT TY. NOODG 07' 19 "E 200.52 FT TO POB OR 3630 PG 1102 OR 3630 PG 1105 STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING ISA TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC • ORD IN THIS OFFICE WITNESS MY HAND AND ICIAL • THIS DAY OF a' ; iii. ` 2 0/0 PAU O NEIL CL R n CO OLLER B s ,Aye ` UTY CLERK