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HomeMy WebLinkAbout10-11167 CITY OF ZEPHYRHILLS LZ' 5335 - 8TH STREET (813)780 -0020 11167 BUILDING PERMIT Permit Number: 11167 Address: 37540 DALIHA TERR Bldg 21 #201 Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: TOWNHOMES Lot(s): Block: Section: Square Feet: Subdivision: EILAND PARK TOWNHOMES Est. Value: Parcel Number: 03- 26 -21- 0230 - 00000 -2010 Improv. Cost: 26,587.00 Date Issued: 11/29/2010 Name: US HOMES CORP - LENNAR Total Fees: 452.50 Address: 37540 DALIHA TERR Bldg 21 #201 Amount Paid: 452.50 ZEPHYRHILLS, FL. 33542 Date Paid: 11/29/2010 Phone: Work Desc: REPAIR/REMODEL SEE SCOPE OF WORK .....,. 1 _ . 1 - .1.11 EDMONSON ELECTRIC INC PLUMBING FEE 40.00 MECHANICAL FEE 40.00 BAYONET PLUMBING HEATING & AIR C FIRE INSPECTION FEES 15.00 FIRE PLAN REVIEW FEES 25.00 BAYONET PLUMBING HEATING & AC IN .h6c i VILA IS - 1 - •I - 17_ 7 w , ,v .1 11 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,. 1 perty. If you intend to obtain financing, consult with your lender or an attorney before recording you %_ , mmencement." , , CONT ir•70te' URE PERMIT OFFI FR PER EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER SCOPE OF WORK Original Permit # 6007 Home Address 37540 Daliha Terr, Zephyrhills, FL 33542 Construction Value: $26,587.00 Pre - Demolition • Disconnect electric panel from home • Keep one (1) GFI outlet in garage only for irrigation, pool (if needed) and power for repairing home • Turn off gas line in home (if needed) • Remove existing outlets and switches from electrical boxes Demolition • Remove selected drywall • Remove insulation (except foam insulation against block wal • Remove/Repair any damage to existing studs P HY ¢ f E,I CilTY • Remove cabinets, countertops and fixtures as necessary Ate F _ • Remove tubs, commodes, sinks and hot water heater • Remove all appliances as necessary • Remove all duct work and air handler, refrigerant lines and HVAC grills • Remove flooring -tile, carpet, hardwood, etc. as needed • Remove all interior doors and trim, mirrors and shower doors as needed • Remove /repair any copper damaged by drywall • Remove all switches and outlet plates • Note: during demolition we will bring home back to rough -in mechanical, electrical and plumbing stage. No structural changes will be made in home. Mechanical Scope of Work • Re- install all new trunk lines and duct work per what is in existing home including bath fans • Replace interior compressor unit Plumbing Scope of Work • Repair and replace any damaged copper • Install new copper after removal as necessary • Install new tubs and fixtures as necessary • Repair and replace any damaged copper • Install new copper after removal as necessary Page 1 of 2 15550 Lightwave Drive, Suite 210 Clearwater, FL 33760 • Phone: 727 - 479 -1700 • Fax: 727 - 479 -1707 LENNAR.COM ,, �, Plumbing Scope of Work (Continued) • Install new tubs and fixtures as necessary • Install new commodes and fixtures (at finish) as necessary • Check for any damage after demolition and repair as needed • Install new hot water heater Electrical Scopes • Repair damaged ground wire in switch, outlet, and light boxes • Keep existing recessed cans as necessary • Keep all light fixtures and ceiling fans, reinstall at finish • Install all new outlets, switches and trim plates • Install all new recess trims • Install all new light bulbs throughout homes Insulation Scopes • Install new insulation to match or better from whatever was removed during demolition • Check and install any fire stopping as needed Inspections (rough in) • Mechanical • Plumbing • Electrical • Insulation Inspections (final) • Mechanical • Plumbing • Electrical • Insulation • Final C/O Page 2 of 2 15550 Lightwave Drive, Suite 210 Clearwater, FL 33760 • Phone: 727 - 479 -1700 • Fax: 727 - 479 -1707 LENNAR.COM awn City of.Zephyrliills BUILDING .PLAN REVIEW COMMENTS Contractor/Homeowner: lei rla 5/-41(. Date Received: 7/— /0 —w Site: 37 Syo / / /Y Permit Type: '(° if0 Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment sheet s... . kept with the . -rmit and/or plans. J �ld Kal ' : — ' Examiner Date Contractor and/or Homeowner (Required when comments are present) 813.78U Ld1 01 Lj.1IIyrlrIII rCI11Ill. n�Niwuu.... lI Building Department '' /II ,ate Received- Phone Contact for Permitting v / ?b I -- 0 3 c.3 Iwner's Name / Cs c// Owner Phone Number '! 9 i i / q -- / 00 Iwner's Address 3520 `. ..ruom HUI9A/,O ,4V'6, /-/lKA1 Poser. 41 Owner Phone Number ee Simple Titleholder Name Owner Phone Number L 7 ee Simple Titleholder Address T OB ADDRESS 3 75'10 TEAL/ #4 €2 tJj �G 33-5 LOT # 20/ IUBDIVISION t /G,IND f 39te4-- PARCEL ID# O 3-2 c, - 21` 023 0— 00000 o (OBTAINED FROM PROPERTY TAX NOTICE) VORK PROPOSED p n NEW CONSTR ADD /ALT ( SIGN [ 1 MOVE ( I DEMOLISH INSTALL �(� REPAIR ROPOSED USE ET SFR 1 1. COMM 1 1 OTHER YPE OF CONSTRUCTION p 0 BLOCK I 1 FRAME 1 1 STEEL 1 OTHER 1 ,/ )ESCRIPTION OF WORK / QEPA /L- ' / R6/10 0 e L ..7M/ F � - / 'y' / 'V - Try 1 WILDING SIZE SQ FOOTAGE / .3 7/ HEIGHT Q J7V y BUILDING $ 3 i 6 so VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 3 v AMP SERVICE 5Z.1 PROGRESS ENERGY I 1 W.R.E.C. PLUMBING $ Y3 .75 • MECHANICAL $ 1 /.2 TS VALUATION OF MECHANICAL INSTALLATION GAS ( 1 ROOFING 1 1 SPECIALTY 1 OTHER =INISHED FLOOR ELEVATIONS FLOOD ZONE AREA !YES L NO :' i� Lgn/NA /c . 3UILDER � CO MPAN Y 11 • ' ../1 SIGNATURE W REGISTERED Y / N FEW. Rk . g w ' Addre .,�' 55D LLa , � VF £k.d1 /D C�EA/?ws FL337� . 1� �' ��� I .b.$ ' ir � % r t � , / 7�I ELECTRICIAN � h COMPANY 140 • - C E f+G'G. � A/ C SIGNATURE / ` REGISTERED .FEE cuRRENT l Y / N viei Addre " /e, 4D - L 33'6/3 License* E'C 00 0.25 79 is PLUMBER 1 (' •MPANY 8 fi YoP/E PCu, 6 //v &,/ie` rmio -- 9 4 C SIGNATURE 'l lll l � 7 REGISTERED YIN 7 FEE CURRENT Y / N Address ' • S o l J 8 / ¢ y 00Vf r P b i w r C c 3 b 7 License # C �(/ 0 _ 6 1 2 . 9 1AECHANICAL COMPANY 9 duMQ /4/6 Weain(r, Aff , SIGNATURE REGISTERED Y / N I FEE CURRENT 1 Y / N 1 Address A 2, 8o>( 5 OQ f34yONfr76INr ,-.c -3y67V License # , C' 0 -5 - 8 ' 9 0 2 DTHER C �S' COMPANY TE /L/ 4/(r (j�� Fi &I/Li ry A & . - , Z•vG. SIGNATURE �/� REGISTERED l Y / N 1 FEE CURRENT 1 Y / N Address , 5 L /uE 8c.vp (SP241/ G /tt /c.e `63Wo7 License* , CC Co .5" 99 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 :OMMERCIAL 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/ Slit 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: FIII 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 DVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC 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 comp;iance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or regulations. If the contractors to undertake work, asrethey ed b be iaw, g boththe ow licensed r and contractor accordance may b cited for loca m s violation contractor is not licensed as required Y may apply under state law. If the owner or intended contractor are uncertain as to what licens requ ma a I for the intended work, they; are .advised to contact they contractor t or Bco contractors, sp he advised to Division—Licensi have a co s 8009. Furthermore, if the owner has hired portions of the " may be Block" e an Indication this that application for properly licensed will a d is not entitled to you, permitting prvilegesgn Pasco contractor, that may b County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND R ESOURCE RECOVER F of new de sig ned nd ersta o f that Transportation Impact Fees and Recourse Recovery Fees may apply to 9 u use in as am ded. in The u expansion dersig l ed al eisting buildings, derstands, that su fees, in Pasco es, asmay be d e, will be id ntif d at th of 90 -07, as amended. The undersign 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 Pasco C ce nty ca Water/Sewer occupancy y or final power release, the fees must be paid prior to permit issuance. Furthermore, If fees are due, they must be paid prior to permit Issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW eve b e e en provided w t a t copy s of the valuation of Work is certify that 1, the applicant, have Law—Homeowner's ave p 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'SiOWNER'S AFFIDAVIT: Ica s that construction, this an ay. deon Is Application is is will be done in compliance with all applicable I regulating hereby made to obtain a permit to do work and Installation as indicated. 1 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 rotheaovernmen ageies may app t' land t tic y to the ntended w reulations in the rkf a that a�so is certify that I understand that the regulations o f 9 my responsibility to identify what actions P otect bn -Cyp ess Bayheads,S agencies W tlad Areas include nd Environmentally menta ly De E Sensitive - Department of Environmental Lands, Water/Wastewater Treatment. 13a heads, Wetland Areas, Altering - Southwest Florida Water Management District - Wells, Cyp ress Bay heads, 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 atZime of permitting which �s prepared r by a Weer "compensating volume" will be submitted licensed by the State of Florida. If the fill material is to be used in Flood Zone "lA"he area connection with a wall.' permitted building using stem wall - construction, I certify that fill will be used only to f If fill material is to be used in any area, I certify adjacent propertiesftltheiowner may r be i c ited for violating properties. If use of fill Is found to adversely aff 1 the conditions of the building permit issued under the attached permit application, for lots less than one ( ) acre which are elevated by fill, an engineered drainage plan is required. ere uired for electrical work, THE OWNER, I promise In good faith to inform ah o permit of the may conditions set forth in t I affidavit the A GENT FOR TH trio l o w . A this affidavit prior to commencing construction. Iunderstan t plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included ini the app II di m t e reafter permit issued shall be construed to be a license to proceed with the work and not as authority Bi to,vloOlaffitecial q 9 , c f r o ecome invalid set aside any rec tprovisions of the technical codes, nor sha en issuance of a permit prevent the u re requiring a correction of errors in plans, construction within six months of permit issuance, or If work authorized P or violations of any codes. Every permit [ding sued all unless Y m e work pe dud authorized ndoh permit is com d a s e nd will An extension the permit is suspended or r abandoned for a period of six (6) months after the time the work is commence d may be requested, in writing, from the Building for ninety (90) consecutive days, th�ob is considered abandoned. Official a period not to exceed ninety (90) y Justifiable cause for the extension. If work ceases YOUR FAILURE TO RECORD A NOTICE OF COMMENCEME; N MAY RESULT I Y CONSULT WARNING TO OWNER: Y NTS TO YOUR PROPERTY. IF YOU IN >•`� PAYING TWICE FOR IMPROV O ?� / + WITH OUR L - ' 01 sew, FLORIDA JURAT (F.S. • BEFORE RECORDING 0U' 117.0 �� Pitt � ��. / CONTRACTOR - .�..•� P"'thls ? uNf OWNER OR AGENT , n �_rr e this ENE Subscribed and sworn to � 1 1 3 `r _ A/ oar S ibscribed and sworn to (or - - �'f 0rN ?P1 ° by n o A✓,.� L ' °4-‘7/ yyh.1 re personally known to me or has/ have s Identiflcatio n W h'" — o aye ersonall known to as Identiricatiop 0 _ Notary Public �/� - - Notary Public •` •� DD 7'7 423 Commission 77'/02.3 ommission No, "'" Name of Notary typed, printed or stamps : ' „, ., Commission OD 7.1. _” �,, : Ex June 6 , ri = . e. emmission DD 71402 '" • - ` 4 ,: Bonded a Troy Fein Insurance 800•318,7019 Name of Notary typed p 1, ti - :P' Expires June 6, 2012 • 3'pr y :,,q Exp �'' °' Bonded 1/1N Tro f0in In1UtOnne ADO 385.7019 Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnettraflre.zephyrhills.fl.us Plan Review #: 10 -134 Project: Chinese Drywall Replacement Number of Pages: Packet November 0;2010 I have received and reviewed the plans for the replacement of drywall located at 37540 Daliha Terrace and will allow the project to move forward at this time. Paying for permit, contractor acknowledges complying with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Firewalls will be required to be looked at prior to any drywall being reinstalled to verify no additional penetrations have been made and if so sealed in accordance to the code to maintain the fire rating. Inspections Required: 1. Firewall 2. Final KERR B • 0 TT, 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. ZEPFIYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813)780 -0041 Fax (813)780 -0044 FIRE SERVICE USER FEES Occupancy No.: Plan No.: 6 3 Contractor: /l /74V /7‘e- Business Name: , : , sf 0 Billing Address: - ,r Lr „ 2 1`0%0 Business Address: ' � '� A — ✓- -- (i€s�vtue -4er' /, -, �� Business Phone No.: Billing Phone No: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE — FALSE ALARM FEE L ite Plan N/C Annual N/C ` Sprinkler $50 $50 1st Alarm N/C Multi - Family /Commer .06 sf Minimum Charg $25.00 _ 1st Re inspection N/C Standpipes 2nd Alarm N/C — 2nd Re- inspection $100 _ Fire Pump $50 3rd Alarm N/C Plan Revisions DBL _ 3rd Re- inspection $250 _ Hoods $50 ` 4th Alarm $100 _ 4th Re- Inspection $500 Fire Alarm $50 — 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 _ 6th Alarm $200 0 - 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 — 26 plus Heads $100 SPRINKLER SYSTEMS — Fuel Tanks - per tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 0 Per Riser $50 Hydrostatic Test $65 per system ~ Fire Works $500 FIRE PUMP Acceptance Test $45 per system _ Camp Fire $25 0 Per Pump $100 Hydrant Flow $75 _ Controlled Burn $100 _ FIRE ALARM SYSTEM Hood /Duct $50 0 - 25 Devices $50 FIRE ALARM SYSTEM r Place of Assembly $50 Annual _ 26 plus Devices $100 System Acceptance $50 _ Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual — Wet $50 OTHER ^ Waste Tire Storage $50 Annual Dry $50 F re Wall /Smoke Wall $ per — Generator < KW $100 _ CO2 $50 P Gas $25 per tank — Generator >30 KW 150 Other $50 Natural Gas $25 per system Bio -Hazard Waste $100 Annual KITCHEN EXHAUST _ _ Fumigation Tenting $50 0 Hood /Ducts $50 _ Tent 10'x10' or greater $15 per tent Torch Pot/Applied $50 OTHER — Fire Pump $45 — Haz. Materials $100 Annual LP Installation per tank $50 _ Fire Suppression $30 Fuel Tank Installation $50 System Acceptance — (Per Tank) $50 Exhaust Hood /Duct $30 0 Natural Gas Installation $50 _ Re - inspection DBL (Per System) (other than annual) 0 Spray Booth $50 0 Inspection scheduled DBL and cancelled Tess than — _ 24 hours — Construction Insp. N/C Emergency Vehicle Ac $50 FALSE ALARM PLANS TOTAL! ` INSPECTION TOTAL PERMIT TOTAL TOTAL [ J GRAND TOTAL In2=1 Comments: Date: 7///7//, InstiEctor: e7 4//402 el'el BUS l l s S ��.'A =' R�' (�'.'r Z �' . pity W :o f Large 2010 - 2011 PI # ' $ BA. LEWNA HONJF °LLC .a Btl sinews :Name► ; & M ad. l,in g Address :; Phy aa], A ess ` LNI�AR .E LLC 155'51 I,IO,iTWAVE "DR-- ':<..,;> 55 0 LZGHTWAfi bR CLE 535,760 LEARWA 33760 -3504 ST r ROB,RT , SM1TH �.� ' ., q 26 5gg , . s s es s ;co ` De s cr ,ip t i �.>. : " _ r CT O � y �x . Classi£iati, ' � Qty * oua3t Busy nos S v 1 Vc:c;; , g 0 "" g it' 'q 0'0 ° r g$ p PCCL$: -tE 9 ° 0 /20 `® ;STATE : CBC125575 B,/ j2Al2 Y y A o Certi ie fie Number : P179 °" CBC125575�.' " �' ' ' �' CANNOT OCCIISY SPACE THA /, a 'E � • � - bF x * ,r r a9 ' '' tM . ma a, k nJa Yn in an ` busin��' g ° g , Y ��cupa�io: i�_su ect tP za �F �,,� 3 x n g; strict S Thacolle t erate f this Bus�nd s T e x /Admi rn. �r. eve S , ha d e ht3 ` - autho , in va of t� on o " any ty : o. �5 e law or regulation. Ea ;� the Solely r ppsrat for notify ng the Cornr�► D ` e l� �" Department, sole i n s s t at fb, loo atiori or ownersh Re _ sus gi , °f any ad n ire statue, iwal natY ..,� :.'�" N e a: - known adXe`s end ov�liex of rec lssuarce is ' i n . way intende'• `a •poval 'or dim eompet nce' or skill . ph © l> b the holiiter's' This Husiness Tax Receipt' -e)(1:'20/1. i es 30 S ptem15,..„,,,,r 2 01:1. Penaltie ar not renewed;, "before, 1 October Additions]: "penal`ites of u to .$250' apply if renewed by 31 Dee�mber 2011' p` THI I S NQT` ,A; ;BTLI, NO tAt B I Iii <,A CO�T,�PICUO�?9 = CDPR3026.RPT Jacqueline Boges To: John Lively Subject: permit ready for pick up Hey John, Just to let you know I have the permit ready for you to pick up for 37540 daliha ter bldg 21 #201. The cost is $452.50. thanks Jackie Boges Code Support Specialist ext. 35 1 • STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO GERTIF Y THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT III�III III) III�II�IIIIIIIIII�I�IIII) IIII�1II�IIII1IIIIII�fI ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WIT ES Y HAND AN OFFICIAL SEAL THIS 2010165518 / 7 AY OF / pie/iv-424_2 O (O PAULA O'NEIL, CLERK & COMPTROLLER / Rcpt:1336457 Rec: 10.00 BY 4-4--- / - (DEPUTY CLERK DS: 0.00 IT: 0.00 NOTICE OF COMMENCEMENT 11/17/10 L. Korb, Doty Clerk PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER Permit No. 11/17/10 12:18 pm 1 of 1 Property IdentificationNo. O- 3 - A /' 230 OOGOO -tort OR BK 846 PG 673 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. /7: -) 1.Description of property (legal description :) /or 20 / 6t /fe4O A - k .4 • /YS l0 0 / a a) Street Address: 'ii D.¢LINg. TER ZEpf/YR// /ez3, FL .?„3S4/2 2.General description of improvements: Reteht / RPMpoE[ S /Ne/E F,4iy /e y /eES /OENt• 3 .Owner ame an C1 ¢Z2// a ) Name and address: Pors'+CNnf- t3o 40 — 3S.24$ L.J'v � w+�xe4ee /Q.,tE „ / b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4.Contractor Information a) Name and address: L.EA A/A,C — /5 LI 6//7Zake - /C) C - /e l? // 3374 b) Telephone No.: (7.z'7) 9 4 - ?O Q Fax No. (Opt) 5.Surety Information a) Name and address: Al /A . b) Amount of Bond: /tVA c) Telephone No.: Fax No. (Opt.) 6.Lender a) Name and address: /1/ /4 - Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other doctmments may be served: a) Name and address: ^/ A . 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: N/A 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. 1F YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA r ', ,, ., COUNTY OF PASCO X a at - A .a/ / Signature of a i • Owner's Authorized Offioer/DirectadPuwe/M .. . es A14f i4n/E2AJoS — /3o 4 Print Name / The foregoing instrument was acknowledged before me th ' day of / `1 6 J f Nl b C �10 /o , by 414, P4 DI ErtN /30 as Ot.cJA/42 (type of authority, e.g. officer, frustee, attorney in fact) for (name of party on behalf of whom '. .t was executed). Personally Known ! OR Produced Identification t/ Notary Signature -ie.— _ - . Type of Identification Produced Name (print) !•' ", ','••• ' M. HOLLERAN . Commission il 9 I LIL ..9•11- � t : - ires June 6, 2012 ' • Verification pursuant to Section 92.525, Florida Statutes. Under penalties of p i . ' . "-'•_ ^ . • tlb9idtita • • , • .' ' ... • that the facts stated in it are true to the best of my knowledge and belief. " tr g1b�� Alt— SigimaimaNa tv Pcrson Above FORMSINOCpw=07