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HomeMy WebLinkAbout10-11031 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11031 RESIDENTIAL SWIMMING POOL Permit Number: 11031 Address: 6403 SILVER OAKS DR Permit Type: SWIMMING POOL RES. ZEPHYRHILLS, FL. Class of Work: POOL/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: Parcel Number: 03-26-21-0120-00000-1080 �� Improv. Cost: 29,200.00 �, � g �.��_• � �. Date Issued: 10/08/2010 Name: CI■ORELLI, BRUCE Total Fees: 340.00 Address: 6403 SILVER OAKS DR Amount Paid: 340.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/08/2010 Phone: (813)788 -6043 Work Desc: INSTALLATION INGROUND POOL 12 X 24 LUKE OTTEN POOLS BUILDING FEE 270.00 MIKE CURRIE ELECTRIC, INC. PLUMBING FEE 35.00 LUKE OTTEN POOLS ELECTRICAL FEE 35.00 Sv d CetrraC POOL STEEL POOL DECK & FOOTER POOL ELECTRIC BOND POOL PLUMBING /PRESSURE FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ` - CONTRACTOR PERMIT OFFI ' - - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 09/22/2010 11:27 7278467195 PAGE 02/03 elu- rewutrau t4ty oi.t.epuynnn rto(uut /.4ppuwuvr1 �7 -Building Deportment -- — • • Da1a'Rscelved 9.-- cl p2" /0 Phorre'COelaet far?etm . w t & 7 'C t M. Owner's Name j # / C / eel e y / / / 1 _ Phone Number .• P "7 �f 0•5'.3 Owner's Address 1 ‘y ' J °"' 5// l/ 1'{^ 004 04 I Owner Phone Number 1 • Fee s(mple•TIIleholdor Name , 1 _ • 1 Owner Phone Number 1 • Too Simple TlWeholderAdddr 7 / ( ess 1 / — - -- • Jon ADDRESS 1 'D 4 0 ) — VP .11-- t J P4J /r• I/ h r . . I .LOT* I / 0 SUBDIVISION I5,/vl - /1 -f'k(_ /r7.- , PARCEL 10211 0 2-( ). - /`4 12-v-0OpfJ/1 /(',6 (oBTMNen Moe PRDPErtY TAX H MMCO) • WORK PROPOSED ' e Now coNSrn Er r---1 ADD/ALT r slow . Q Q DEMOUSH • • INSTALL J� REPAIR PROPOSED USE Q SFR • 0 COMM = * OTHER I . 'TYPE OF coronRUCTION Q BLOCK Q FR L j , STEEL. Q DESCRIPTION OF WORK , 1 _514/ / h , / ®d / •_ /iT C IN BUILDG SIZE 1. ' • 1 8Q FOOTAGE' __• 1 1 I BUILDING r „. ..<. FJ TIONOF L00 kI ELECTRICAL • r • 1 AMP SERVICE • • Q PROGRESS ENERGY 0 W.R.E.C. PLUMBING 1; 1 • 1 MECHANIC/tl IS 1 VALUATION OF MECHANICAL INSTALLATION . []GAS • I=1 ROOFING 1 SPECIALTY Q OTHER . FINISHED FLOOR ELEVATIONS • 1 1 FLOOD ZONE AREA fJYES NO • • 9 ON �ep / _ - - '- - NY ' XI O /J / J 9 A uBE • i t A /�A d ® d FEE mwraren WI= ,L ' /6C. Address f . If" /ice : 1. 'j({( Loomed 1 E.e- 1 3oo Sao i I ' �..r.... --a+.— - - PLUMBER , 1 - ,�4, �e o�,� P o / SIGNATURE rtmmert o L Y/ N I FEE e m s. J Y/ N ) Address I 1 . Ueense I —o r f j 1 MECHANICAL . COMPANY ( SIGNATURE mom= gEg J Y / N J FEE cumin en ) Y /.N J • Address 1 • 1 LloenseS I • • ollIER COMPANY 1 ' SIGNATURE • IE61."TEREn J r / N 1 pee CLE . ( Y / N I Address I • ' I License # . I RESIDENTIAL Attach (2) Plot Pean=•(2) Rata or Bulling Planet (1) eat or Energy Fun R.O•W Peenet for new conehuopon. minimum tan (10) working days after albmlttsl date. Rambled panto, Coneltoollon Plana. Stormwrler Pans w/ SV( Penes N19bted, • Sanatory Pedalled & 1 dudlloder; St(e Went Permit for subdivlelonsA n pve eele coMMERCIAI. Attach (2) complete see of Building Plana plus a LBO Safely Page; (1) set of stingy Forme. R O-W Permit for now wnmucUon. • Mlnhnum ten (10) working deye otter subrnItlel dole. Required meta Corebuction Pko+s, Ston ev ter Plane w/ 811L Pence Ieselled. • Sanitary FedIeee a 1 dunpater. SIM Work Pane ter en new protects. Al eonenen:lsl regtdremenb must meek dxmpaone SIGN PERMIT Atbhch (2) Deb of Engineered Plorte. • ""PROPERTY SURVEY mowed tor NI NEW ctmeduction. . • dlns:do ee . . RN out application contpk lily. Owner a Contractor edges beck or applI aIen, newt end • • I wow $2.9a0, a Willem of Caw.neentent m. requ sd. .(A/C.up daa. praevarS7Bed)':" ^•..• ,.. . . 'tent (tor the contractor) or Power ter Attorney (tor the owner) wattle* t+om Weerrid eonet abl(b tnem owner eutrontino sane OVERTNE'OOUNTER PERMfTTING (Pratt of APPEeapen Only)' ne roots X 9hMpkas Beware Service tlpaeadae Are r • Pane (PIeVBe nnwrnoun o) • • Driveways-Not over Counter II on public tsadwaye..needeROw . • • 01J /11U - UUZU kitty ULLepr lyrl llllb - retina f1IJIJruUGUVII , ....- .....- V Building Department • Date Received 9 r //(--) Phone Contact for Permi g( 2 7 2 • ._ / / 1 /� r — 74er 6 y I (� Owner's Name /} t✓'fy C .� / C / /�fij (J �'• � �� / Owner Phone Number Owner's Address 6j / �,a 5 ° ..7 / / ' -e* 1.- 0 G / " 1/ Owner Phone Number Fee Simple Titleholder Name . Owner Phone Number Fee Simple Titleholder Address /) � /� JOB ADDRESS 6//o - / /L- (I� j ` //Y LOT# / !2 7 SUBDIVISION ,S /Ivlk L•fk( /W PARCELID# a 3 -24-1/ -- 0 )2-iJ - OOp /)p -/ C) (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n n DEMOLISH — INSTALL REPAIR PROPOSED USE rI SFR Q COMM I I OTHER I TYPE OF CONSTRUCTION I BLOCK 0 FRAME STEEL n - / A I I DESCRIPTION OF WORK fit/ / A 1 / 4j/�5 PDT/ D j c t [ / )( 1 BUILDING SIZE SQ FOOTAGE HEIGHT �'� BUILDING $ ,,.. � aat) (VALUATION OFZQTAL.CON$TRUCTIOF? ' FIELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY r W.R.E.C. PLUMBING $ nMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION E1GAS EI ROOFING n SPECIALTY I 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZO AREA nYES NO T - BUILDER / �F //� ii Aks COMPANY ,, O /(/ v O () (� / y! (S GNATU 1/ REGISTERED Y / N FEE CURREI, Y / N Address License# I CPC— 0505--17? �� y y!6 • ELECTRICIAN Nr� n r X I COMPANY 1 SIONATUSE� �' ( 4 D - 1 Y/ I FEE CURREA 1 Y/ N (/ `, R FnICTFRC - Address t) License # L / r ir��9L - '.i�N�� ) PLUMBER i• 7/ L ( It 0 - :/ COMPANY / - f'/�� / / SIGNATURE O REGISTERED I Y/ N I FEE MARE!, 1 Y / N I Address License # C P6 — p.5�i / 73 MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE cuRREt. 1 Y/ N I Address License# I I OTHER COMPANY SIGNATURE • REGISTERED I Y/ N 1 FEE CURREI I Y/ N I Address I License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Storrnwater 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 ansite, 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs If shingles Sewers Service Upgrades A/C Fences (Ptot/Survey/Footapo) Driveways -Not over Counter If on public roadways..needs ROW NOTICE OFDEED 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 /UTILmES IMPACT AND RESOURCE RECOVERY FEES: The Undersigned understands that 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 (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 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 Tess than one (1) acre which are elevated by fill, an engineered drainage plan is required. If 1 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE FLORIDA JURAT (F.S. 117.03 • OWNER AG'+ENT ✓ end swum (� ed) trine r affi bef6?e ` / (f, . + �— ! Ci by y -u me uhsai LJ 0`� i(novin a by U yyh� to me or hasfhave produced Wh1!re ' as personally personally known to me Identification. i on. produced as Identification. f iflflcatl c _` i BOBBIE S. SW Commission Co'unlednn Nn re ISSIOi) D 734406 44 BOBBIE S. SWETLAND � , ... • Name of No ry + T �rC" u . 1 Nan .1Qpdd�d,14 r toy ' Insurance ' 4". 804395 7919 x Expires February 22, 2012 = 7 ��„pF„ Bonded mpu Troy Fein Insurance 904985 '7019 Sep -20 -2010 02:19 PM PROGRESS ENERGY e_'.37150824. 1/1 P September 17, 2010 Luke Otten Pools 12114 Pasco Trails Blvd Spring Hill, Florida 34610 Phone: 813 - 996 -2656 .Fax: 727 -992 -4973 SUBJECT: PROPOSED SWIMMING POOL CONSTRUCTION AT: Cimorelli Residence 6403 Silver Oaks Drive, Zephyrhills, Florida Dear Valued Customer: Thank you for notifying us of your proposed swimming pool construction at the above location. We have checked our facilities for this location and there does not appear to be any conflict with the location of the pool. Therefore, we have no objection to the proposed construction. Prior to digging please call Sunshine One at 1- 800 - 432 -4770. Florida law requires excavators to call this number so that underground utility equipment can be located before excavation to avoid personal iniury and damage to equipment. If you have any questions or require any additional information, please call our office at 727 -372- 5154. Sincerely, PROGRESS ENERGY FLORIDA, INC. Darryl Foshee Distribution Engineering DF /atn • SOUTHCOAST DIVISION ENGINEERING • 4121 St. Lawrence Drive • New Port Richey • Florida 34653 Telephone (727) 372 -5159 Fax • (727) 372 -5117 PROGRESS ENERGY • CPC 057193 LUKE OTTEN POOLS Commercial (' Residential =�� & Pool Repair :.) 12114 Pasco Trails Blvd. • Spring Hill, FL 34610 Mobile (727) 992 -4973 • Tampa (813) 996 -2656 / - Date l / a L SUBMITTED TO Name V -�'� ( `-j - '�'� "r ~ � Phone 2 / i U� C� �/ • Address 6 f Q 3_ 4 & P.- _ / C • City ' J State ! Z '?7 rte. ••••••••••••••••••••.•••••••••••••••••••••••••• ••••••••••••••••••••••••••••••• t / SPECIFICATIONS: POOL SIZE r 2 x 2 _ _ _ +— INCHES SURFACE AREA �t' SF DEPTH . To 6 r PERIMETER STD DECK L t/ "I SF EXTRA DECK 2 c 5 SF EXISTING DECK. SF DECK TYPE: ❑ KOOL DECK ❑ RIVER ROCK ❑ CANTILEVER of /c , k./ir DECK COLOR: ❑ TAN ❑ WHITE ❑ BROWN ❑ OTHER TILE TYPE_ ❑ FACE ❑ CHIPS ❑ STEPS ❑ SWIM OUT ❑ OTHER ALL DIMENSIONS + OR— INCHES. . STANDARD EQUIPMENT ACCESSORIES & ADDITIONAL ITEMS e FILTER.LEPUMP_L.HP ❑ EXTRA DEPTH $ Ea' SKIMMER Va MAIN DRAIN ❑ EXTRA DECK - c`S SF $ 2. 1 a a. 0 ..- ❑ DEAD LINE ❑ EXISTING DECK SF $ L> INLETS ?T ❑ STUB OUT ❑ EPDXY RIVER ROCK $ fa SHALLOW END STEPS ®'`DECK O' DRAIN ❑ FRENCH DRAIN $ ❑ LADDER OR L4 -SWIM OUT ❑ ROCK FOR DRAIN $ 13 CHLORINATOR Ireplacem•nt only ❑ FACE TILE ❑ STEPS LiSWIM OUT FT. $ a VAC EQUIPMENT II bring ' "I ❑ HAND RAIL ❑ GRAB RAIL $ 1B'WALL BRUSH ❑ AUTO SWEEP $ 2 - LEAF NET E POOL LITE w/TRANSFORMER 0100w 300W $ / � f �� ZYTEST KIT ICHLORINATOR ,S4 /i ' y s-7. $ ' . L START -UP CHEMICALS ❑ THERAPEUTIC JET ❑ LOVE SEAT $ • ELECTRICAL / $ 2 SCREEN ®BRONZE ❑ALUM. $ 6 d d f)' v i ❑ SCREEN ROOF TYPE $ -DOOR 2- $ © CANOPY / ", 7 /3 x 2 7 $ ®GUTTERS AND DOWN SPOUTS $ ❑ .,/ $ $ $ $ $ $ TOTAL STD. POOL $ / /0-2—y. J. J/ TOTAL ACCESS. $ TOTAL $ 2 9 2 d zi . u/ NOTE: OWNER RESPONSIBILITY POWER LINES, SEWER, PHONE LOCATION, GAS, SEPTIC TANK, LANDSCAPING, ACCESS, FENCE, CRACKS IN DECK DUE TO SETTLING, AND STAINS CAUSED BY CHEMICALS. We propose to furnish labor and materials completed in weeks from excavation, subject to acts of God, shortage of materials, labor problems. (NOTE unforeseen escavat or problem assumed by buyer such as sewer. power phone lines. rock or excessive water) Attorney's Fees. If any action shall be brought for or on account of any breach of, or to enforce or interpret any covenants, terms or conditions of this contract, the prevailing party shall be entitled to recover from the other party, reasonable attorney's fees and costs, the amount of which shall be fixed by the court and shall be made a part of any judgement or decree herein rendered. 10% as first payment of $ upon execution of contract 10% $ 2 9' 2 6) • �u 40% as second payment of $ / w / hen concrete sp II is completed 40% $ //t Y'• d d 25% as third payment of $ 4 w�,-t s / k- de /i " k' /on ins al on of deck - )25% $ 3 6 co • a, 20% as fourth payment of $ on installation of filter 20% $- 5 < " �' BALANCE PAYMENT of $ on completion of pool BAL. $ -/ ' ' '' GI ' WARRANTIES ARE NOT VALID UNTIL FINAL PAYMENT HAS BEEN MADE. 'M I have read and understand Conditions. Date of Acceptance B - -'^— C` —"C------ Ce) 11 20 i 0 Estimate good f r days By '---'( ) • ...) f 1 I li 10 . By . � /_� STATE OF FLORIDA, COUNTY OF PASCO I11111111111111111111111111111111111111111111111111111111111 THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT 2010132947 ON FILE OR OF PUBLIC RECORD IN THIS OFFICE 7 JYHAND D OFFICIAL SEAL THIS T - DAY 0 ' le/ys^{i - © /0 Rcpt : 1326202 Rec: 10.00 "AU j S. O'NEIL, CLE K & COMPTROLLER DS: 0.00 IT: 0.00 09/16/10 L. Korb, Doty Clerk B �/ r • .: _ ,f_— PUTYCLERK • NOTICE OF .COMMENCEMENT Permit No. PAULA S.O'NEIL,Ph.D.PASCO CLERK q & COMPTROLLER 09/16/10 03 : 2Eipm 1 of 1_ C OR i BK 840 P6 Property Identification No. (� THE UNDERSIGNED here (? 3 _ 2 -6 —2 -1 0/2 0- 0 D 0(� — / a W y gives notice that improvements will be made to certain real, property, and in accordance with Sectior j 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. r 1. Description of property (legal description :) a) Street Address: d _ ` t - I f .:. 2. General description of improvements: '"` "�' �s���.�� 3. Owner Information qq�� a) Name and address: lJ /�y�� 4 ` D ra3 l �� b) Name and address fee simple tit (if other than owner) n 1 L i k G / property ,• 1 _ 315:-.4 c) Interest in r m e 4. Contractor Information / , ir? a) Name and address: � �� � � / —� ` , ' / �CC / ✓ ' b) Telephone No.: Jam" � � , %vi .../ • • .. 5. Surety Information _ y� Fax No. (Opt,) g y _ � ^ Zv-s a) Name and address: b) Amount of Bond: c) Telephone No.: 6. Lender Fax No. (Opt.) a) Name and address: • Phone 7. Identity of person Within the State of Florida designated by owner upon whom not? es 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 receive 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 COUNTY OF PASCO Signatur of Owner or Owner's Authorized Of ficer/Director /partner/Manager UC Print Name _ The foregoing instrument was acknowledged before me this / day of // ash wn� 20 /Q by y3�i?x,Li� in act) for r, n (type of authority, e.g. officer, trustee, attorney - � (name of party on behalf of whom instrument was executed). Personally Known ./ OR Produced Identification �� Notary Signatur�� Type of Identification Produced Name (print) �a IYej' . rint /geor Verification pursuant to Section 92,525, Florida Statutes. Under penalties of perjury, I declare that I have read the fore oin the facts stated in it are true to the best of my knowledge and belief g g and that FORMS /NOC,rvsd2007 gnature of Natural Person Signing Above BERTHA HELEN MEADOR ;"Y P Comm# DD0878005 i r � Expires . 4 /612013 `'f4YFP�d;�� Florida Notary Assn.. In,- >K :"..- - R I iow at ., . i 1 " r�/ .!,,„ -, ---'4--.4 City of.Zephyrhills BUILDING PLAN REVIEW COMMENTS c" Contra /Homeowner: Date Received: _ l'`-4.67/(_7 Site: Permit Type: 3 Approved w /no comments: ❑ Approved w /the below comments: eft Denied w /the below comments: , id 9 v ' la '' C � °,i�1L°(il i. _.cam � n (6 - l � m pL / ,�. - - / l Z kl'd� I at, , • o pil - This comment sheet shall be kept with the permit and/or plans. 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