HomeMy WebLinkAbout11-12259 ' CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(ais)�so-oo20 12259
BUILDING PERMIT
Permit Number: 12259 Address: 5611 12TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-10400-0050
Improv. Cost: 4,900.00
Date Issued: 8/16/2011 Name: MAGNAN, TIMOTHY J& TINA G
Total Fees: 60.00 Address: 29846 CEDAR WAXING DR
Amount Paid: 60.00 WESLEY CHAPEL, FL 33545-3884
Date Paid: 8/16/2011 Phone: (813)907-9062
Work Desc: TEAR OFF RE-ROOF 17 SQ GAF SHINGLES
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TAPE JOINT�R�F �NSP
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 � 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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complet Plans, Specifications Must Accompany Application. All work shall be performed in accordance with
Ci C es and Ordinances. NO OCCUPANCY BEFO C.O.
ONTRAC SIGN TU PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
sisaso-oozo City of Zephyrhills Permit Application }� ��`�� j�' Fax-813-780-0021
Building Department �!
)ate Received � �� Phone Contact for PermitUn � � �.JV( - � �
hvner's Name � S�l� i C.. • 1 C, r � Owner Phone Number r? ��"�'�('J -
���� �% � , 1 33 y�l s
hvner's Address � i� t.�-��� �- 1 ^ Owner Phone Number
�ee Simple Titleholder Name Owner Phone Number
'ee Simple Titleholder Address
IOB ADDRESS l �' 1 Fr � LOT # S •� l
3UBDIVISION , PARCEL ID# - �Q '"' "� � �!
(OBTAINE� FROM PROPERTY TAX NOTICE)
NORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
B INSTALL e REPAIR �y��
�ROPOSED USE � SFR Q COMM � OTHER
fYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �'1" ���" T � S 'G �►'l�'' Q�
BUILDING SIZE SQ FOOTAGE �� HEIGHT ��
�BUILDtNG $ - C; „� C.� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � �ROGRE�S ENERGY _Q W.R.E.C.
QPLUMBING $ .�" � " � ' / - � �
� �,���
OMECHANiCAL $ VALUATION OF MECHANICAL INSTALLATIO �
QGAS [� ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN COMPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
PLUMBER COMPANY
51GNATURE REGISTERED Y 1 N FEE CURRE� Y/ N
Address License # �-
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address '� License #
DTH „ COMPANY �� � � �
51GNA R REGISTERED / N FEE CURRE� N
c
Address L° License # �.. � �.
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy FoRns; R-O-W Permit for new construction,
Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Work Pennit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of E�ergy 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
51GN PERMIT Attach (2) sets of Engineered Plans.
** SURVEY required for all NEW construcUon.
Directions:
Fill out application compietely.
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
DVER THE COUNTER PERMITTING (Front of Application Only)
�eroofs if shingles Sewers Service Upgrades PJC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Counry.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the constructfon 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, wiil 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
finai power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", i certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or instailation 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 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 Zone "V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this a�davit 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
justiffable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN R OR AN ATTORNEY BEFORE RECORDING YOU NOTICE OF COMME MENT.
FLORIDA JU 7.03)
},
OWNER ORA aT� "'� '� ONT
Subscribed and swom to (or afflrr2 b;fore e thfs ed an m to (or aHlrme b e m this
by by
Who Is/are personally known to me or has/have produced Who islare personally known to me or has/have produced
as IdentlflcaUon. as identificatlon.
Notary Publlc Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Pasco County Parcel: 11-26-21-0010-10400-0050 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, August 13, 2011
Parcel ID 11-26-21-0010-10400-0050 (Card: 001 of 002)
Classification 08 - Multi-Family - Less than 5 units
Mailing Address Property Value
MAGNAN TIMOTHY J& TINA G Ag Land $0
29846 CEDAR WAXING DR Land $23,163
WESLEY CHAPEL FL 33545-3884 Building $42,020
Phvsical Address - See All 3 addresses (First Extra Features �0
Shown )
5611 12TH ST Market Value
$65,183
ZEPHYRHILLS FL 33542-4106 Assessed (Non-School Amendment
1 � $65,183
L@cfal D@SC�iDt1011 (First 4 Lines)
See Plat for this Subdivision � Taxable Value �65,183
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 5& 6& NORTH 13.00 Ff OF
WEST 25.00 Ff OF LOT 7&
NORTH 5.00 Ff OF EAST 115.00
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR2 8,400.00 SF $2.72 1.00 $22,848
�2 0100 SFR OOR2 900.00 � $0.35 1.00 $315
Additional Land Information
Acres 0.21 Tax Area 30ZH FEMA Code � Residential Code ZHLHLP2
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 002)
Year Built 1939 Stories 2.0
Exterior Wall i Average Exterior Wall 2 Tile or Wood Frame Stucco
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M)
Interior Wall 1 Drywall Interior Wall 2 None
Flooring i Pine or Soft Wood Flooring 2 None
Fuel Gas Heat Convection
A/C Window Unit Baths 1.0
� Line ��— Description � Sq. Feet Repl. Cost New
1 U R 600 $7,245
2 UST 240 $3,864
� 3 � B� 600 $24,150
Extra Features (Card: 001 of 002)
Line � Description Year Units �� �
No Extra Features
Sales History
Previous Owner GRAMS CHARLOTTE A
Yea� Month Book/Page Type Amount �
2003 10 5584 / 1737 WD $77,000
1989 05 1810 / 0470 WD � $37,000
1978 10 0971 / 0381 $18,000
http://www.appraiser.pascogov.com/searcl�/parcel.aspx?sec=11 &twn=26&rng=21 &sbb=0... 8/16/2011
RE �.'C� �}.J.'.JJIJ ,
� 6 � �� � • , I �� FYi1 :�w
A Division of Ryman Construction, I�:c. Proposal # 4J U��
iNC. 36413 SR 54 • Zephyrhills, Florida 33541 Estimate # C:� ��
Phone: 813-782-6094 • Fax. 813-788-6773
License # CCC 1325505 Job # ���
'� -�li+t'��-i���l-IAi�r�� Also, Serving the Central and East Coast c�f Plorida
t7ss��
� Customer•. � � !�"\ �o.� rl�J�i� Date: �''- � '
Address: �"i� � I �•�v. e�'�". CitY� �C�� � f�h ��� Zip.
Hon►e #.���-� � ��� �Ci(s�:�, Cell #• �3' �\a— �1`j � Business #:
E-mail Address: _
�omplete tear off of existing S1-,� ��1.�.1 Additional Items: �,�..�ic,\\ �j r• ��,� r�w'
�ecure all loose roof deckiiig as needed according �;�iy,� �t�,� _ C���f- y�j����
to Florida Building Codes � � `
�Roof dried in with � i_`S� �-c-\-�- _�� �1-`-,<< �i , Nc:a.1ti �-,c�Y r�, Jr ,
�Iiistall new valley metal with galvanized metal -}�,.,tii���; � �' ,�- �.��� Q,�. V.�,'ti�__
�nstall a11 new .� " drip edge color: / c/1� �'�Z..
�'Tnstall �11 new lc.ad boots - S�:�c�� c �.�y��-' ,��,�,, 5��.�
�3'Install all new �� year fungus-resistant shingles
UF'�liingle brar�d/color: �a �- �'yc�� S-� 1.�,- , �,� 'i `y-e.c•ii ,G�-.1.-, Waxxanty Package.
�,yl'All roof related debils reinoved fx•om job site
Tota1 bid rice y
�All inaterial5, labor and permits furnished f p� � y y�. �
Ext�r
�.t'tiad plywood replaced at a cost of �� 0'3 per sq. ft. in the roof held. All other wood worlr/additional labor, such as, but not
luuited to, valley rebtulding, raftei• i•eplacement, etc. will be a rate of $ fv-�'. �� per mar► hour plus the cost of materiaLS.
THIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. YURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
1. All mate�ial is gu�uaiiteed to be as specihed and completed 'ui a substatrtial woi•lmtzuilike matuier.
Z. All agreements contingent u�on st�ikes, accidents or delays beyund oiu• cait�•ol. Owner to culy fire, hurricane a�id other necessary insurance upon above work.
J. Labor w;uranty does iiot cover d�uitxge to rooYs caused by ligl�t��uig, tiw•rica�le, tornado, hailstornt, impact of foreign objects or other violent stonn or casualty damage to roofs due to
settlement, distortion faihu�e or cracl:u�g of roof deck, walls or fowidatiai of a building.
�l. Worlmi�ui's compen5ation a��d public liability u�siu•a�ice on above woi•k to be taken out by RYMAN ROOF'ING, INC., a Division of Ryman Constivetion, Ine., or it's subcontractois.
6. RY1VfAN ROOFING, INC., a Uivisiun oY Rynnau� C'onst�iiction, L�c. i� not respoiLSible to provide any mateiials or to' perform any work other than what is described above. ReplaCement
of deteriurated deckiiig or fascia boarcls, is not uicluded and will be chruged a� an extra w�less otherwise stated hereu�.
6. 1'his cont�act is subject to tiii<il approval by RYNIAN KOOF[NG, INC., a Division of Ryma�i Coiist�uction, Inc. and is the entire agreement of the paities and no ottter written or other
fom�s wID recogiuzed.
7 A charge of 1.5% will be niade on all iuip�ud balances after 30 days, plus ch�ges incml•ed for non-payment procedures, plus attomey's fees.
6. A�%processu�g fee will be added fo all cre�tit card ordeis.
Ry►nun Rooting, I►►c., a Division of Ityman Construction, Inc. will not be respoiisible for uiy dan�age to septic tanks, sod, shrubbeYy, paint, satellite signal loss, sprinklers,
concrete drives or any uiidei•ground pipu�g.
Yayruent Sci�edide• Payruent Method: ��X�., ° � �+r�r.;T ;� ` �'1 r- !�P}�`y��a _'y �.��...�C
�e i � �ie✓�� "i (en�Li '� '� "� '7 CT � 1 �=1 U
� Acceptance of Proposal
STATUTORY__�OTICE REGARDiN(i ONSTR TCTTlIN T.I .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 THEIR CLAIlVI FOR PAYMENT AGAI�ST XQUR 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
PEOYLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU
HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. II+' 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
'1'HAT YOU CONSULT AN ATTORNEY.
I ACCEPT THIS PROPOSAL AND REBY TIFY THAT I HAVE REAI) AND F'[JI.I.Y UNDERST D THE PROVISIONS OF THIS CONTRACT.
.
Purchaser: `�� Date: 'Z /
.
Purchaser Estimator: � - �
__----
�3-18-'09 15;37 F�OM-ABC SUPPLY C�, 3525232227 T-240 P003/006 F-004
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6(3S Nortfa ' L.o� IR '� User Re�lstratfon MoC Topics Submit SurcF�erge Steb a Fe[ts PublECahonS F9G Steff � BGS Slta Mop i UnIG Snarch
Pradud Approval
Q � U94�: Pu611c 11:ar
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Slw/�Oh C�l�Or(A RpFin[ 52tireh
Code Versian aoa� FL# AI.I.
Applkation Type ALL Produd Manutacturer GAF Nlqter�aK Corporation
tatogory ALL 5utreategary ALL
Appticatlon Stalvs ALL Compllan�e MMhod ALL
Qwlity Assunnce �»taty ALI. QUaliky Asseirance �ntity GOntract EXplrpd ALL
Product Ma4el, Number or N�me ALL Product Pescriqtlon ,�.�
Approved f�or use !n HVHZ ALL Approved tor uss outsfde HVHZ ALL
Impad Resista�t ALL Deslgn Pressure ALt
Oths► qu,
Sarr�di Rowdb - w irations
� � Manufaeeuner Vai7dseed 8v �q
F 6 0. 7 Rpvislen GAF Materiais Corporation � �� 7ohn W. Knezevi�h, Approv�d
Y�f4JY C�ory: Rooflog p�
Subwbpory: Cements-Adbesives-Coati (954) 772-62Z4
F13443_ Ravls►on G14� Materiats Corporatlon John W. Knezxvich, Approved
BZ ��Y�Y: RoOH11Q PE
1�4�C Si�bcntpery: Singfe Pty Roo! Syst�Ins (954) 772-6224
FL4g11_ Ravislon GAF Mat�fals Gorporation ]ohn W. Knez�vich, Approved
Si. Cst�aOorye Rooflng PE
� Subsatpery: WatarprooAng (954) 772�622h
FL52g3- Rev(slon GAF Materlats Corporation John W. Kne=evich, Approved
B2 Ca�e�ory: RooflnO PE
dlsl4L�L Subc.iporq: 5ingle Ply Roof Systems (954) 772-5224
F s�_ Revfslon GAF MateNais Corporatlon Zohn W. Knezsvich, Approved
Bl G�yc RooAn9 pE
�Q�(, 91NfCatpOryr: Modltlad BitunloR Roof 5y5tatl'1 (954) 772
FL6267. R�vision GAF Matariab Corporation 7ahn W. KnQZevfch, Approved
BZ C�►a RooAng p�
HI5l4qC Subea�pwy� Rooflnr� Aecossorles that are an Intoyrol P�rt o� tho (954) 772-6zZ4
Rooflnp Sy�m
F14f�37. Revislon GAF M�tsriap Cvryorat�vo ]ohn W. Knezevich, Approved
Bl C�b�porys ROOling p�
l iL�mc� C i�bo�po�Ys Underlayments (954) 77Z-6x24
FL10124_ Rsvlalon GqF Materlals CorporaNOn ]vhn W, I(aezey�ch, Approved
Bl C�bporyt Rooft�g pE
HliC¢(�C Su6ca�porys Asphalt Shinqles (954) 772-6224
FLl4s2�L New GAF M�e�t�ls COrporation 7ohn W. Knes4vich, AifProvetl
Catpo�y: Rooflrt9 PE
S�ba�ee�sry: Underlayments (9S4) 77Z-6224
t70afi New GAF M�t�rli�ls Corporatidn � � �ohn W. w►ez�v�Gh, Approv�d
�r�ro ILo0fin9 PE
3�a�bpery: Bullt up Roofln9 (954) 772-6224
I]�A Admlrnstnitlon
�M+�nt H' C�xrnMYAfA�s
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CO�LTNTY OF ,x.lj
`1 kiL UNllLRSIGNLD herzby gives notice that nuproveiu�nt will be made io certain real property and "ui accordance witli
Ch�ipter 71�, Florida St�tluzs, th� following information is provided u� tliis IYotice of Conunenceineiit:
1. Descriptio�� of Property: 1'�u�cel No. �(' o� �O -� I-'�e� I U '( l'��C�� - �.�Q
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C- �`�-� �'F Z� rh i t( S ( P� 5� �'F'S S oi- � oL �l (7r'� h �3 . f30 �"�i` D�
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'�. Ger►erul ll�scriplion of lmprov m�nt:
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3. O'4VI1C1' �i1f011T1i1t10I1: Ni1I11E��V�p � . � �'�' � n � � jry1 �
A�Idr�ss: �'�t-{.(D CE' r WGL l
City Sfiate (i
� l�iterest in Prupzi ty Zip cude _ 3 3 S`�/�''
N�in� ofliec Sunple Tittieholdei•:
lf oifier tliau orviier: Addr�ss: �
City
State Zip Code
� Coiiiractol�: R00'� \�'1 � �✓�- • ( �J ��v� loC.�-�
4 v/ � �
Address: 36 13 51:. 5�} L�phvrhills FL 335�E1� f _
5. Sui��ty: Name N/A � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII
�aa����5 �������������
City 2011127179
Amounl uf 13onc1: � µ �'tate . ,,. . , .
Rcpt:1383532 Rec: 10.00 �
DS: 0.00 IT: 0.00
�• l.,eiidei° 1�laine N/A 08/16/11 A. Gia�d, Dpty Clerk
�aa����s :������� �
PRULq S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
City Statz 08 �16/11 10:12am 1 of 1 —
OR BK ���� p� �� q � �
7. Persons withui the Stat� of Florida designated by owucr upoii wl�om noiices or olher documents inay b�Served as
provid�d by Suction 713.13 (1) (a) (?), rlorida Staltrtes: '
Nanze N/A Phone #
Addr�ss
� Staie '
Lip C�de
t�. ln addition to liimself, Q�.vuer designates: N/A
°t Plione # to receive a cop� oi'the Lienoi's Notice as
provide�l in szction 713.13(1) (b), Florida Statutes.
9. Expirati�ii dat� o#'I�otice of Commenceinent (tl�� expu•ation daie is oiie (1) ye�u tcom tlie date of record'uig ui�less a
ciifferent dai� is speciiied.) _ �
�l�Al.N1NG TO OWNER: ANY PA�N.I�NTS NlAllE Dy THE OWNLR AIjTLIt THL L7�IRATION OF THE
NOTICE OF C(�11�11��LNCENIENT AF`L CONS7DEP�];D IM1'ROPLIZ PAYMENTS UNDLR CI�P,PTER 713,
T'ART l, SECTION 713.13, FLORTDA STATUTES, AND CAN RESULT IN YOUR 1'AYING TVVTCL FOR
Z1�11"I�OV�l�IBNTS TO YOUR PROPERTY. A NOTICE QF CO1ViMENCEMENT MUST BL :[�CORD�D AND
1'OSTED ON TrIE JOB SITE BEFORE T�lE FIRST INSPECTION: Ir YOU INTEND TO OI�TAIIv
I�INANCIIVG, CUNSULT WITH YOUR LENDER OR AN ATTORNEY BEFORL CONIIVLENCING tiVOitI� OR.
�' _� LOP.DIIVG YOUI� NO I'ICE UI' CUNINIE ENIEN 1.
Sibriaturz of Ownei � - Yrizited Nam J,�'1 �9"l i✓ �/
/ ....� , . , fI
S`i'r� 1 E O� FLO
COUNTY Ol � C�-�
'.�'li� fare6oing ulsirum�nt �vas acknuwleaged b�fore m� this __�___ day of 20 � r�� la�own
to m� or who produced identification id who did/did uut talca oath (please circle whieh)
_�� r
�\���� C ����� �°" ��r r� ChristianuRyA4nte of FlOrida
c .-- ,.. ,._. � � My Gomm�ssi0n DD751¢10
Not�iry Yublic. �.-�' �' V.__.. n;Iy Comrnissiun Lxpii•es: �+o�M1�'� exp����s ��;zaizo�2
�------- -_.._._--
UnciCr paiialties of peljury, I �leclar� that I have read tli� fore�;oulg Notice oi,Cointnencement aud that th� facts stat�d ii� it ure
true to the best of my icno vl�dg� • d belief. �
�
(Si�;nature o er Signi A6ove)
S7ATE 0� FLORIDA, COUNTY OF PASCO
THIS IS TO CERTiFY THA7 THE FORtG01NG fS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY HAND AND FICIAL SEALTHIS
�_ DAY OF 2 �IL_.
PAULA O'NEIL, CLE M ROLLER
B �, UTY CLERK