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HomeMy WebLinkAbout11-12524 CITY OF ZEPHYRHILLS • � 5335 - 8TH STREET (si3)�so-oo20 12524 BUILDING PERMIT Permit Number: 12524 Address: 39453 KENNEDY AVE 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: 12-26-21-0000-04500-0030 Improv. Cost: 3,@85.50 Date Issued: 11/10/2011 Name: PERRY MARY LEE Total Fees: 55.00 Address: P.O. BOX 1552 Amount Paid: 55.00 ZEPHYRHILLS, FL. 33539-1552 Date Paid: 11/10/2011 Phone: (813)783-2218 Work Desc: REROOF SHINGLE vc�� � � �-� , zc��� 1 �� � � � � � � , r TAPE JOINTS ROOF INSP 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 t) 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 properly 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 wmmencement 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." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. '�JOr ONT TOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER MILBAR ROOFING, INC. ������ 15911 U.S. 301, Dade City, FL 33523 �� ----- Ph:352/567-6047 Fax: 352/567-4454 Date: 10 November 2011 To: City of Zephyrhills Building Department Ph: 813/780-0020 5335 8` Street Fax: 813/780-0021 Zephyrhills, FL 33540 Re: License # CCC1329092 To Whom It May Concern: Please accept this letter of authorization for the following list of individuals to act on behalf of myself, David R. Abla, and Milbar Construction, Inc. in the procurement of all legal permits and/or licenses as required by the State of Florida and/or the various city and/or county governments located therein; authorization is also granted to sign in my stead as required in the acquisition of the aforementioned permits and/or licenses: Frank Albritton, Olivia Lovett, James Henagan, and Jeff Spann. MilBar Roofing, Inc. '�%���2�- David R. Abla, President MilBar Roofing, Inc. State of Florida County of Pasco The foregoing instrument was acknowledged before me this U day of �_ � � , by David R. Abla, who is personally known to me and did not take an oath. Notary Public - Comission: OLIyIA A. LOV�Tf �� ���N +� 98807426 sTF� � � 2 w xvst�,�r� ��r Pasco County Parcel: 12-26-21-0000-04500-0030 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, November 05, 2011 Parcel ID 12-26-21-0000-04500-0030 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value PERRY MARY LEE Ag Land �p PO BOX 1552 Land �g�978 ZEPHYRHILLS FL 33539-1552 Building $35,148 Physical Address Extra Features $1,815 39453 KENNEDY AVE ZEPHYRHILLS FL 33542-4630 Market Value ¢46,941 Assessed (Save Our Homes) $46,941 Leaal Descriotion (First a �ines) Homestead 196.031 -$25,000 N 130 FT OF S 600 Ff OF E 75 Non-School Additional Homestead Exemption -$p Ff OF NE1/4 OF SW1/4 AKA LOT 25 Taxable Value $21,941 RB 937 PG 120 Warning: A significant taxable value increase may occur when sold. 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 � 0110 SFR RURAL OOR2 8,000.00 � $1.21 1.00 $9,680 2 0110 SFR RURAL OOR2 1,750.00 SF $0.17 1.00 $298 Additional Land Information Acres 0.22 Tax Area OZH FEMA Code � Residential Code ZHLPLP3 Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1979 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring i Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New � 1 FST 60 $1,104 2 � 1,204 $44,307 -� Extra Features (Card: 001 of 001) � Line � Description Year Units Value � � 1 � DU-M 1988 1 � $131 I z� CLFENCE 1983 1,600 $564 3 DW C 1995 800 $1,120 Sales History Previous Owner N/A Year Month Book/Page Type Amount 1978 03 0937/0120 $0 http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21 &sbb=0000&... 11 /10/2011 I PASCO COUTITTY B�USIl�T�SS TA.X R�C�IpT �011-1 Issued pursuant and subject to.Florida Statutes and Pasco County Ordinances. Issuance does not certify compliance with � zoning or other laws. This receipt must be posted conspicuously in place of business. Expires September 30. Mike Olson ACCOUNT NO s 081195 T'AX CpLI,�C O TYPE OF BUSINESS � SIC CODE� 1761 ROUFING CUNTItACTOR PASCO COUNTY FLORIDA MILBAR ROOFING INC •'� � LOCATION ADDRESS� 15911 US 301 :� �'• 15911 US 301 DADE CITY FL 33523-2420 � DADE CITY � .� �; �'• ���t*�`.••� DATE REGEIPT AMOUNT �� ••'••.• 0 9i 2 3i 1 1 5 1 7 0 98 3 1. 2 5 5 '� � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting _ ier's Name Owner Phone Number � ° a Owner's Address � ,-� Z '—' i Owner Phone Number Fee Simple Titleholder Name �.;,a� Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS c�- '3 �� LOT # Sl1BDIVISION PARCEL ID# 2' - Z - ��� 'v.�. 30 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR C� ADD/ALT � SIGN � MOVE � DEMOLISH INSTALL u REPAIR PROPOSED USE Q SFR � COMM �� OTHER L-(Z, TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTHER DESCRIPTION OF WORK j � : � � � � � � � �< . BUILDING SIZE �— SQ FOOTAGE J J HEIGHT ��/ BUILDING $ 3 U `�C- li VALUATION OF TOTAL CONSTRUCTION ' � ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.0 � PLUMBING � � Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 0 GAS �` ROOFING � SPECIALTY FINISHED FLOOR ELEVATIONS � FLOOD ZONE�A OTHER YES Q QNO BUILDER ' ^� - SIGNATURE �,. � COMPANY rn�t �"� � � REGISTERED / N FEE CURR T Y N Address j� � � (,�� �� �Q C �) 3 3 License # �;,�, �3� y,�,;� L ELECTRICIAN COMPANY SIGNATURE , REGISTERED Y/ N FEE CURRENT Y/ N Address License # PLUMBER SIGNATURE COMPANY REGISTERED Y/ N , FEE CURRENT Y/ N Address � � License # MECHANICAL COMPANY 3NATURE REGISTERED Y/ N FEE CURRENT Y! N Address ('�' � License # � OTHER S1Gi�ATURE COMPANY I�EGtu'.'Efi�D Y i I`! F�E CUP.P.ENT Y 1 N Address � License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster COMMERCIAL Attach (3) sets of Building Plans, (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach (2) sets of Engineered Plans. ""**PROPERTY SURVEY required for all NEW construction. rections: Fill out application completely. Owner & Contractor sign back of application, notarized If over a2500, a Notice of Commencement is required. (A/C upgrades over a5000) " Agent (for the contractor).or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same )VER THE COUNTER PERMITTING (Front of A�plication Only) Reroofs 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" wfiich 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/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 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 (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 Iand 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 no# 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 flll 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 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 � equiring 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 (901 consecutive clay�, the jo� is cen�Edered abardoned. 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 OBTA,IN FINANCING, CONSULT WITH YnUR t.ER��1ER OF AR A??�RT��Y BE�QR� R��C'�,�;{'�v 'f�viir� �',JTiCE v^� Gt'i�ri�ll�tiCEf�itNT FLORIC3,v ,1UKA �(F S 117 03) OWNER OR AGENT ri'� � �'� � > Subscribed and s n to (or ffirmed) , efore me this C�NTRACTOR � bY "�„ � ��� q Subscribed and sworn to (or affirmed) before me this �`�� /���� �w —bY � o is/are perso nov,yn-tuT� or has/have produced Who is/are ersonall as identification. p Y o me o as/have produced -� - as identification. 7 u ic - Commission No. ��iON � DD807426 ery Public �c RlSitlr4g 29�� Commission No. ranwr C e1 p ��b • 1ev �oro� �� � ��� �p 2e 2012 COMMNY �� Name of Notary typ Name of Notary type MII r R �n � �� � u,�: �o�, �do Clh►, �� �ae�� �u�o co� N•a.� �ccc��:�or� Ph: 800/3��-��93 Fax: 352/387-44S4 RCI Rp Roof Con;ultent tM0149 milbar�earthlink.net �40F PROPOSAL o.d. � g� z DATE: 09/3Q/11 TQ= PERRY, MARY 1,EE PH: 813/783-2218 P. O. BOX 1552 Ir+vrErlt (d8ughte�) ZEPHYRHII.LS, FL 33539-1552 � J08: PEF2RY RE5IDENCE 39453 KETJNEDY AVENl1E ZEPHYRHILlB, Fl 33542-4(�3U _—_____�'__—===;�a====—�_________________�'_`=_=°_===_—__�__--_=^==---__� ==== ��v == —==�--- �aao - ifL.iJLGLIi� � 1� 1;�� . Provlde and I�elell new TAMKO �GJass 3eal AR• z0-yher 3-tab alpee resletAnl llberg�se ahinqlee, �:' 1 � � Provide TAMKO � s 2Q-year Iimitad shingle wF� --• r { � t..._ i..__ � �_� �� • •i.u_ r...__� �� 1W � I W!! y�7�fi;ix111y p(ICilU ly�pltl LNIIMtiU eVaiklpl 1 WloO 1l111lIU "_.�_.._ ..�_._ ���{ �� y ���� Hflt�Ytl SINItl. 2 � I�.�KO "Eiltr Glasa 8�a1 I��+�+ ZS-vfar 3-teb shlnols., Centract Rum S3_3 1.60 Prowde and Install new TAMKO ��Elite Gla��: Seal AR~ 25�year �Ab algae resistant�(lberglass shingles. Provide TAMKO � s 25-ye�r limited ahlnpla wananty. 3paclelly prir;� colore currenGy avp�lablo; Rueqc Bluck, Rustic Coder, Desert Sund 3. (r' RTAINTE " T 29" Z r- ahln provide snd Inqt911 new CERTAINTEED ^XT 26° 25•yaar 3-Igb elpae.reeletant fibgrqlsao shinpba. m 3 Z Provlde CERTAINTE�b� S 25-yaar ilmltod xnlnp�e warrenty SpeciaNy pt��� �brs currently avAlleble� Moire Black or $liver Lini�g. 4 - ��RTAINTEEQ �XT 30 3Q 3-tab ahino�aa �„„k , Prqvfde nnd Inetall new CERTAINTEED ^XT 30' a0-y�r 3-tab alga�e fibergleas shinglea. Provide CEaTA1NTEEd� S 2�ry�gr Nmited shingle wdrl'einty, Specially pnced cplo� currently aveilabla; Timbar glend. ,� � ��.a_� .r__. . , . ,... 3 . . .. . • �` r - r i � r n�w ro-i , • . . � . � � . . • a.a r. w `. mrm s a s�... ...._.�.. __�-.. .......... o. � � u II1i,�t,� �=-===RaO�cc�ccea==_=e^aOC���Wxa=--====-__��__ma=--=°°��o_c¢ms=_a====����cca�s======���cr / t�' ` � I , .f /�. 7IT �� /'7 YJ i � n�iTiivi�iZ�f1 Cir?�iA'�'� 10�• � � �nr+��n i �� ��, �.� vr v it�• •� w•N �vr I'1ATG� nni4/1M 1 ��1 V. VV/JV/ 1 I DAVIq R. 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PA�Yb 000U Ivr 9u a�ys a urrM �P�cMy cMwa sMnpwa ap � - \ - ` Oct.24.2011 05:57 PM ' PAGE. 1/ 2 ���� MilBar ftoofin I�c. 1591t U.S, 301, Dade Clty, FL 33523 State Cart Roofer �► rr.ww ww,� �CCC13Z90pZ Mh: �uu�ao�-�sas fax: "s��i�i-��d milbar({�e8rthlink.net RG� ap Roof Consultsnt M01�8 ROOF PR P ��� of2 �� . oatE; osisa� � �,�� �'��``��' oa PERRY, MARY LE� P• 0- BOX 1552 �'H� 813/783-2218 ZEPNYRHILLS, FI, 3353�1552 i�,n'��II�_ .lic_�p� i�um (�ughEerj ��8� PERRY FiESIDENC� 39453 KENNEDY AVENUE ZEPHYRHILLS, F� ��542_a630 � ===__=__���-------------..�-- —°----__�_.. ------_ � -==-=-=-== -======W======;�_— ---- — ------_�----===-===---=�= SNIN(iLE RE-RQqp y, Tear off and haul away existing pne.►ayer shingle roofing $y��m. . �- �ie-festen the existing p�y�d rooi deck in acc�rda�►ce with the Florida guitdinp Codes. 3 • P��de end install the naw 15 Ib. satureted felt psper (AS7M D-226) secondary yva�er barner in accordance with the Floride puildjng Cpd�, 4. Provide and instal! new (algae-resistant) fbergless shinglas; p�er to choose shingfe cola irom manufacturer• s seleM r.olore. Provide mq�utpciurer� s limited shingla warrenty. Pleese s�� oppone on pepe 2. 5� Replace all valley fleshing and hea6ng, ventilsting, and air conditioning vents, 6. Provlde and install new lead boots for ihe plumbing vents. i ��2`� t � .�,u''�� 7• Provide and in�tafl new pre-finished aluminum eavedrlp (white brown �� � 8• RepairJReplacemenl of any rottsn or damaged wood (d�, tascia, lrim, framing, etc.) or will be complated on a eost-plu$ q�si$ above and beycir,d the contrect price, ($g� p� 4'x8'x712" sheet e{ CD exterior piynro� �epleced, includes Is6or and materfal.) 9. Mil�ar RooSng, Inc. t� prQ�d a 5-yesr wprlcmanship werrenty to the onginal purchaser that covers shing►e ��{ feaks; exclusions: storrn damage, work done or damage by oth�rs, tree damege, end/or structu�al demege ko ropf deck. ��' aW��� tO� e) provide access to roof fpr dalivery truck for Ioading/unloeding oi rqofing materials. b? ramo� exls6ing setellhe dish p�or lo re-roofing and re-instell on f�scia. 1 �- MilBar RooAng, Inc. to provide Gener�l Liab�liry and Worker's Compe�ation tnsuranca ($2,000,000 Rmit) end r� roof+Rg permit. ===------=====-=-�------- .. ��������aa=aa==i^C+CCC�� _-- w• prapwe to fUnlbh mat�Nal and I.bor, co _ -- � ====_==_=== " =a '" --- ' -- - ---- - ---- --- T�I�M I11 �1CCOId/IICf WMA i __ _-_••_'_�_� � i+ii iiaiva in :,rpiions ori rayi s". � ° � ff � °t1O "' , �Or t� ��ct Sum w� ���itl�drYr�11��Mi�Y�����S�r1Ya�i�N�aYqi�M� W Y��N���a��Y�Yi��NO��MNI�Y�R����a�K1YlY P�ym�nt ko ba �� p}p�bw�: Dw Upo� CompNtlon. ----=^=aea=__�a�=xx---==ovee���ccs======-=-===--ccc�=---='=aae__===__---°=e=_=cv =�_-====�a__ ,1- s � a g"�"� 1 �` ' "� ��,P g�- ��� � � � � �'"�� 3�,(�a`� ���s�" -�� i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii i�iii iiii iiii ,� 2011175883 `TICE OF COMMENCEMENT '1VIRI#4409 DSp{01008597 Rec: 10.00 Permit No. I T: 0. 00 Tax Folio No. 12-26-21-0000-04500-0030 11 / 10/ 11 K. Garc i a, Dpty C 1 erk THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description): N 130 FT OF S 600 FT OF E 75 FT OF NE 1/4 OF SW 1/4 AKA LOT 25 RB 937 PG 120 PARCEL 12-26-21-0000-04500-0030; 39453 KENNEDY AVE, ZEPHYRHILLS, FL 33542-4630 2.General description of improvements: ROOFING 3.Owner Information a)Name and address: MARY I_EE PERRY, P. O BOX 1552, ZEPHYRHILLS, FL 33539-1552 b)Name and address of fee simple title holder (if other than owner): N/A .-• D c)Interest in property: OWNER o� � 4.Contractor [nformation � m � a)Name and address: MILBAR ROOFING, INC. , 15911 U.S. HWY 301 DADE CITY FL 33523 �'-' ° b)TelephoneNo.: 352/567-6047 Fax No.(Opt.) �� � S.Surety Information .� � a) Name and address: w ��� s b) Amount of Bond: �; � c) Telephone No.: Fax No. (Opt.) � u.Lender � � � a) Name and address: � o m Phone No. �� 7. Identity of person within the State of F orida designated by owner upon whom notices or other documents may be served: �~ , a) Name and address: � � b) Telephone No.. Fa�c No. (Opt.) o B.In addition to himself, owner designate the following person to receive a copy of the Lienor's Notice as provided in Section m 713.13(1)(b), Fiorida Statutes: s a) Name and addre � � n 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 � � COUNTYOF 1'�a� } ,_�'�/.�� � �_L — `"�1 Signature of Owner r Owner's Authorized icer/DirectodPartnedManager � r�t �� � - �� �r� Prmt Name an Title The foregoing instrument was acknowledged before me this �� day of '�-� �.r , 20_�, by �>a L-�^�� as ���rv� (type of authority, e.g. officer, trustee, attorney in fact) for `�a. ,�k (name of party on behalf of whor.l ins e t wa xec t Personally Known /OR Produced Identification Notary Signature OWIA A. LOVETT Type of Identification Prcduced Name(print) ao�r�r roN � ooao�a2e ES 1Ul 28 2012 sr� oc eowoeo n�ouc�+ --- AND --- FLO �" a� � co�wuvr Verif cation pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare at ave read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. '� �. � �,,, L L- •�.,�` „ Signature of Nat ai Perso Signing (in Iine # 10 ) bove FORMSMOC,rvsA2007 �T�;; � t�F �;,.Uf21CA, C� OF PA�CO, � F;i� iS TG CERTiFY THAT,�FIE FOREGdi�1G 1� �+ T�UE AND CURREGT��OPY OF THE ��� �FF��, ON FILE OR OF PU.�LE��RECQRD IN TH WITNES$ MY HANDAND-OFFICIAL'SEAI.THIS" ,_ `�-' DAY OF ` �E ULA $ NEIL, CLERK � CG�ftAP7R��� _' ,-�, �,. DEPIiT\' � i.E;�!�