HomeMy WebLinkAbout11-11848 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
� (si3)�so-oozo 11848
BUILDING PERMIT
Permit Number: 11848 Address: 6031 17TH ST
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: PARK HILL
Est. Value: Parcel Nurr�ber:
Improv. Cost: 3,985.00
Date Issued: 5/06/2011 Name: SCHUMAN, BRUCE
Total Fees: 55.00 Address: 6031 17TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/06/2011 Phone: (813)782-3629
Work Desc: RE-ROOF W/ 16 SQUARES
55.
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TAPE JOINTS O F INSPf
FINAL .�- 7 - � 1
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 � 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 cording your notice of commencement."
CONT T R SI URE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recefved � ' � � f �� _ c
Phone Contact for Permittin
Owner's Name rC/l�. Owner Phone Number �3i 3-`7�d =�6
Owner's Address � ` � Q� Owner Phone Number
Fee 5imple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS C��� I `� r ��• � ,
LOT #
SUBDIVISION � i�l 1`I PARCEL ID# '- 1� " l��0� "'(�'"' ;�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT �•' ^ SI �N Q Q DEMOLISH
INSTALL REPAIR ����YC70T
PROPOSED USE � SFR Q COMM � OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK (�'1�� �- � � r S y�/� � n ��
BUILDING SIZE SQ FOOTAGE i'� HEIGHT
� BUILDING $�/a �� .� VALUATION OF TOTAL CONSTRUCTION
�. �
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENER -7� W.R.E.C.
QPLUMBING $
1 � �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N `�
�GAS [� ROOFING Q SPECIALTY � OTHER __ _
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License #
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Add�ess License #
s
OTH � COMPANY I h �i� �� •
SIGNA ' REGISTERED / N FEE CURRE� / N
Address �; S � 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 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 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 8 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.
Dtrections:
Fill out application completely.
Owner 8� Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500)
** Agent (for the contractor) or Power of Attomey (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 (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 compli�nce 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 Iocal 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 buiidings, 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, Florlda 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 responsibitity 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 8� 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 Zvne "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 fo�th 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 R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WIT YOU LE ER OR AN ATTO Y BEFORE RECORDI YO NOTICE OF C M EMENT.
FL 1 JU . .117.03)
r
OWNER T ,. CON
Subscribed an wom to (or affi before e this Subscrib an wom to (or afFi e) efore me thi
by bY
Who islare personally k�own to me or has/have produced Who is/are personally known to me or has/have produced
as IdenHflcallon. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Pasco County Parcel: 02-26-21-0180-00000-0600 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, April 30, 2011
Parcel ID 02-26-21-0180-00000-0600 (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
SCHUMAN BRUCE Ag Land $0
6031 17TH ST Land $18,270
ZEPHYRHILLS FL 33542-2603 Building $46,650
Physical Address Extra Features $875
6031 17TH ST
ZEPHYRHILLS FL 33542-2604 Market Value $65,795
Leqal Descri�tion (First 4 Lines) Assessed (Non Amendment 1) $58,117
See Plat for this Subdivision .�'° Non-School Taxable Value �58,117
PARK HILL SUB UNIT 1 School District Taxable Value �65,795
PB 14 PG 70 LOT 60 Warning: A significant taxable value increase may occur when sold.
OR 6068 PG 1967 Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
1 0100 SFR OOR2 7,875.00 SF $2.32 1.00 $18,270
Additional Land Information
Acres 0.18 Tax Area 3 ZH FEMA Code � Residential Code PAHILPI
Buildinc� Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1977 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 Concrete or Cinder Block
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Carpet Flooring 2 None
Fuel Electric Neat Forced Air - Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
1 FST 48 $1,297
2 F A 180 $3,405
�– 3 � BAS 917 $49,564 �
4 Q �– 15 $216
5 F(�R 276 $5,946
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1977 � 44� $429�
2 UDU-M 1989 1 $201
3 CLFENCE 1997 360 $245
Sales History
Previous Owner CIMORELLI LEONA R
Year Month Book/Page Type Amount
2004 10 6068 / 1967 WD $85,000
1996 07 3599 / 0939 WD $0 �
1996 �— 07 3597 / 0968 WD $52,000
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21 &sbb=01... 5/6/2011
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�i 4 . A Divisron of Rynean Construction, Inc. Proposal # L� ���
iNC. 36413 SR 54 • Zephyrhilis, Florida 33541 Estimate #��l7
Phone. 813-782-6094 • Fax: 813-788-6773
License # CCC 1325505 Job #�G' 51;�
`�-i�i��-�t��-��►�i� Also, Serving the Central and East Coast of Fiorida
(7�6�63)
Cust.omer• �'.'�'uCn _��' �rs"' �;�.,. Date: •/•� '
Ac.�ci��ess: �Q�l � �`�'�` ��-. City: �CJ'�1� � ��lS Zip: �
tIome #: ������-�-,�-��� Cell #: �13 "713' ��:5 Business #:
E-ivail Address: _
�__i / Coniplete tear otf of existing„5�%^,�l, C Additional Items: ���1��� �
��ecure all loose roof decking as needed according � �
to Florida Building Codes � _ �
�Y���K dried iii with'�3t�� �t� '�
�lliislall new valley metal with galvanized metal
�'Install all new �_" drip edge color• �_ �;�.� �� ��t� ' Q�,n
�nstall all new lead boots - -
�iystall all new �C�_ yeaa� fungus-resistaalt shingles
C�hingle brancUcolot° ���-,� '� -, c�- ttx •�� � yC,s���"' Wartanty Package.
4tt'All roof relaLed debils renioved from job site
l7�A11 materials, labor and per•mits furiushed Total bid price $��}��w ��
Ext����a
�dBad plyw�ood replaceci at a cost of $_�,_�_ per sq. ft. in the roof field. A.11 other wood worWadditional labor, such as, but not
1'ututed to, va11�y rebtulding, rafter replacement, etc. will be a rate of $�j •� per man hour plus the cost of materials.
1'H1S BECONIES A BINDING CON't'RACT Ul'ON ACCEPTANCE OF PKOPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF TIiIS CONTRACT.
1. All nuteiial is guu•anteed tu be as specihed aud completed 'vi a substantial worlm�anlike nwnner.
'.'.. All agreements i�ontingent upoi� sUikes, accidents or delays beyond otu cont�•ol. Owner to cax�ry fire, hurricane and other necessary insurance upon above work.
�. Labor w�u•i•��ty �loes not cover d�uuage to roufs cdused by light�w�g, hun•icax�e, tornado, l�ailstonn, uupact of foreign objects or other violent stoml or casualty dan�age to roofs due to
settlement, distortion failurt� or crackutg of raof deck, walls or foundation of a building.
�. Worlcma��'s compei�salion �utd public liability insui•utce on above work to be taken out by RYMAN ROOPING, INC., a Division of Ryntan Consttuction, Inc., or it's subcontractors.
5. RYMAN HOOr'ING, INC., a 1)ivision of Rynian Constn�ctioii, Inc is not respoi�sible to pc•ovide any mateiials or to perform any work other than what is described above. Replacement
oY' deteiioi ated decldiig or f�scia boards, is not iiicluded a��d will be ch�rged as an e�ctra tu�less otheiwise stated hereu�.
6. Tliis cout�act is subject to hnal approval by PYNIAN ROOFINU, INC., a Division of Ryntan Construction, Inc. and is the entire agreement of the parbes az�d no other written or other
tbi•nu will recogiuzed.
7 A chtuge oY 1.590 will be ma�le on all unpaid balauces atter 30 days, plus charges uictured for non-payment procedures, plus attaziey's fees.
b. A�l�%�rocessu�g Yee will be added to all cre�tit cru•d ordei�.
Itytnan Hooh►ig, Inc., a Division of $yman Constructiott, Ine. will not be responsible for any daniage to septic tanks, sod, shivbbery, pauit, sateliite signal toss, sprinkleis,
concrete drives or �uiy underground pipuig.
1'aymeut Schedule: Payment Method:
" Acceptance of Proposal
4TATUTORY NOTICE REGARDIN CON�TR T T nN N• ACCORDING TO FLORIDA'S
CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK
ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL
HAVE A RIGHT TO ENFORCE THEIIa CL �IM FOR PAYMENT AGAINST YOUR PROPERTY. THIS
CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR
FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE
PEO�PLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU
HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR,
YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS
FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS,
OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO
PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY
PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN
RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE
TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED
THAT YOU CONSULT AN ATTORNEY. ,
I ACCEYT TH1S S CERTIFY THAT I HAVE READ AND F[JLLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchasei�: Date: � '"' � �
—�-- ___.___ J - --
P�u�chaser: Estimator: - --
;� � 0. .
ASPHALT SHINGLES 2007 FBC PRODUCT APPROVALS
MANUFACTURER ' RODUCT TEST5 PASSE� MIAMI-DAOE FL #
LE3S THAN 11.0 MPH 110 MPH ANO HIGHER
ASTM ASTM TAS ASTM ASTM TAS
D�3�81 D 7158 107 D 3181 0 7158 107
CLASS D CL4SS G CL4SS• F CLASS G
CERTAINTEED CLA351C HORIZEN X 5444.1
CARRIAOE HOUSE x �•�
CENTENNIAL SLATE X �•�
aRANO MANCR X 5444.1
LANDMARK X 5444.1
LANOMARK PLUS X 5444.1
LANDMARK PREMIUM X 3444.1
LANDMARK TC X �•�
PRESIOENTIAL SHAKE x '�•�
PRESIDEDFTIAL SHAKE TL X 5444.1
HATTERAS � X 5.444.1
� PATRIOT X 6444.1
GAF•ELK� ROYAL SOVERElGN X • 10114,1
CAMELOT � X 101Z4.1
CAPSTONE � X t0114.1
COUNTRY MANSION , X 10124.1
• GRAND CANYON X 1G124.1
GRAND SECUOIA X 1012a.t
GRANO SLATE X 10124.1
GRAND TIMBERLINE X 10124.1
, TIMBERUNEARMORSHIELDII ' X 10124.1
TIAABERUNE PRESTI�UE GRANDE X 10124.1
TIMBERLINE PRESTIQUE 30 X 70124.1
T(MBERLINE 30 X 10124.1
TIMBERLINE PRESTIQUE 4o X 10124.1
TIMBERIINE 40 X 10124.1
TIMBERLIN� PRESTIQUE UFETIME X 10124.1
TIMBERLIN� ULTRA X 10124.1
SIATELIN� X 10724.1
OWENS CORNING OAKRIDCiE PRO 30 X 10874.1
OAKRIqG� PRO 30 AR X 100T4,1
OAKRICQE PRO 40 X 10674.1
OAKR OGE PRO 40 AR . X 70674.1
OAKi�IDE PRO 60 X 10674.1
OAKRIOGH PRO 60 AR X 10874.1
OURATION X 10874.7 .
OURATIOhI PREMIUM X 10874.1
CLA3SIC X 10674. t
CIASSiC AR X 10874.1
SUPREME X 10874,1 ,
SUPREME AR X 108T4.1
PROMINENCE X 10874.1
PROMINENCE AR X 108T4.1
BERKSHIRE X 10874.1
WEATHER GUARO HP X 10874.7
TAl1AK0 OLA33 SEAL AR X 1958.2
.. ELITE OI.ASS 3EAl AR X 1958.1
' HERITAGE 70 X te58.9
• HERITAGE XL X 1958.3
HERITAOE 50 " X 1958.4
. NERITACiE VINTA(3E AR X 1154.1
,
NOTICE OF COMMENCEMENT
STA�OFFLO�A IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII CO�TYOF �a scc�
2011069150
THE UNDERSIG1�iEn hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida St�tues, the following information is provided in this Notice of Commencement:
1. Description of Property: Parcel No. �.- p�� -�� '-(� ��� -('y �--(� �p d�'}
'�'1 S'���+L. Z [� '33 � �
�a,r� �� �� Sc�t.� i�r�.�}� l �� P��C� t�o�- � O� 60 (�� P C�- 1�1(0 °�
2. Gener� Descriptio Improvement:
�
3. Owner Information: Name: r'
Address: � �f-� 5 � �.
City State �'(i Zip code 33S'�fv"L
' Interest in rope f� c�� nf��
Name of Fee Simple Tittleholder:
If other than owner: Address:
City State Zip Code
4� Contractor: _ � (��\f'1 �� . � ��j `�'�a -�p OQ �
Address: 364 3 S.R. 54 Ze h hills � 33541 -
5. Surety: Name N/A Phone #
Address
City 5tate Zip Code
Amount of Bond: $ �
6. Lender: Name N/A Phone #
Address
City State Zip Code
7. Persons within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name N/A Phone #
Address
City State Zip Code
8. In addition to himself, Owner designates: N/A
of Phone # to receive a copy of the Lienor's Notice as
provided in section 713.13(1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
different da.te is specified.) �
WARNING TO OWNER: ANY PA�MENTS MAI)E BY THE OWNER AFTER THE EXPIR.ATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,
PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR. PAYII�G TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMIV�NCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION: IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Signature of Owner:,� Printed Name �- (,�� _o �Gl�.�.,w.o,.�
STATE OF FLORIDA
COUNTY .OF � � �.,"
9,,'` �, z {i� , ui�. �1��� +r+Vr'
� Y' ^;-�J"',, )'��
The foregoing instrument was .acknowledged before me this �_ day of t� , 20 '�:�„ `"' er
to me or who p ( roduced identificaf , and who did/did not take oath (please circle which) �• .� �"w; ' 4�.
�Y�( L,(� �-1'l I.t ►11� � Ol �plY PVOv^ �otary Publi'o-�tate �f�h�rid� :, � = �'
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_...._._._ .. stian� � an
<._..._.__.�.._ .�. -,---.... _. .. _... ,.. �,c � M pComro�slon _
i D�51 C�a : i � ` °
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"� • ° � oi fl ,o°' Ex ires 01l2.4/20'k�' � � =
Notary Public•-- ' � -----����omm�ssion Expires: � �• :
.
___�._.._. ._..._..---
_.._ - , o ,;
Under penalties of perjury, I declare that I have read the foregoing Notice of Commencement and that th�e�•£acts stt� in it are
true to the be f my knowledge and belief. Rcpt :1366035 Ree : 10 . 00 ��`
DS: 0.00 IT: 0.00
05/06/11 R. Cervantes, Dpty Clerk
(Signature of Owner Signing Above)
PAULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
05/06/11 08:39am 1 of 1
. OR BK �5�s PG 1444
��}l1' --lr
STATE OF FLORIDA, COUNT�'���'��p � �' '
THIS IS TO CERTIFY THAT TH�.`�flR�EGd��IG IS A��'' ��'
TRUE AND CORRECT COPY� THE D�E►d� ,�; .<�
ON F1LE OR OF Pt16LIC RE(��q PRI�'�' ' F'FF�'� ,., �'-',
WITNES,� MY HAND AND � � `
� F y �IC#,AL SrH � HIS � �
4 DAY OF //�
� v[ Y k�-`��� 'j •p�l�l,
PAULA S O'NEIL, CLER &-� PTRdL .;� c�,
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BY `� EF�l1TY �Ii�RK ,
;,,