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Home My WebLink About11-12530 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sis)�so-oo20 12530 BUILDING PERMIT Permit Number: 12530 Address: 5122 20TH 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: 12-26-21-0010-00100-0050 Improv. Cost: 5,260.00 Date Issued: 11/14/2011 Name: CARSON, ELSIE L. Total Fees: 65.00 Address: 5122 20TH ST Amount Paid: 65.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/14/2011 Phone: (813)782-0986 Work Desc: TEAR OFF & RE-ROOF 18 SQUARES OF GAF SHINGLES � �C i l.�" - TAPE JOINT$ $OOF �1SP FINAL rG'' (� II 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 cailed 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 rec;ord 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." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. C .� CONTRAC O SIGNR PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received phone Contact for Permittin � 4 �— � Owner's Name 1�f1 �� S 1'� Owner Phone Number �I •�� "�� Owner's Address � (�� ~ �� Owner Phone Number �— � Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address `"' �r h� r 33SU LOT # �� JOB ADDRESS � • SUBDIVI310N . PARCEL ID# ��' - O�I •C� � O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH INSTALL REPAIR (Ze tZ.00F PROPOSED USE � SFR Q COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �eC1f� O�r Q.(`C� L¢ ' � � ��j'� �( BUILDING 51ZE SQ FOOTAGE �� HEIGHT QBUILDING --- VALUATION OF TOTAL CONSTRUCTION , � �— QELECTRICAL $ AMP SERVICE Q PROGRESS EA�ERGY W.R.E.C. OPLUMBING $ � � � �� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � OGAS � ROOFING Q SPECIALTY � OTHER � C' / � 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 31GNATURE REGISTERED Y! N FEE CURRE� Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP Y/ N Address License # OTHER COMPANY rYl�i(1 (�rl SIGNATURE REGISTERED Y/ N FEE C REA Y/ N Address � 5 � License #� � ��+QS RESIDENTIAL Attach (2) Piot 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/ Sflt Fence installed, Sanitary Faciflties & 1 dumpster; Site Woric Permit far 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 constructlon. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilitles 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 construcUon. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) ** Agent (for the conUactor) or Power of Attomey (for the owner) would be someone with nofarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Applicatian Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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 loca� 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, wili 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 cert�cate 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 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 wo'rk, and that it is my responsibility to identify what actions I must take to be in c�mpliance. 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-Welis, 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 flll is not allowed in Fiood 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" wilf 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 fitl, 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 shaii 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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL7 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 1 7.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to (or a ) bef is Subscribed and swom o(o a ed) b re e this by b Y Who is/are personally known to me or has/have produced Who is/are personaliy known to me or has/have produced as IdenUficaBon. 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: 12-26-21-0010-00100-0050 001 Page 1 of 1 Data Current as of: Weekly Archive - Saturday, November 12, 2011 Parcel ID 12-26-21-0010-00100-0050 (Card: 001 of 001) Classification O1 - Single Family Mailing Address Property Value CARSON ELSIE L Ag Land $0 5122 20TH ST Land $13,818 ZEPHYRHILLS FL 33542-5218 Building $28,689 Physical Address Extra Features $950 5122 20TH ST ZEPHYRHILLS FL 33542-5218 Market Value �43,457 Assessed (Save Our Homes) $41,392 Le9al DeSCriDtion (First 4 Lines) Homestead 196.031 -$25,000 �ee Plat for this Subdivision ,�" Non-School Additional Homestead Exemption -$0 PINE CRST MB 5 PG 55 L5 BLK i Taxable Value ;15,892 OR 1950 PG 1807 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 �1 0100 SFR OORi 10,000.00 SF $1.38 1.00 $13,800 2 0100 SFR OORl 70.00 SF $0.26 1.00 $18 Additional Land Information Acres 0.23 Tax Area ZH FEMA Code � Residential Code ZHLGLPl Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1956 Stories 1.0 Exterior Wall i Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Plastered Interior Wall 2 None Flooring 1 Terrazzo Monolithic Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 BA� 884 $45,243 2 � 72 $921 3 FCP 228 $2,917 4 � � 84 �— $2,150 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DW WC 1974 600 $368 2 LFENCE 1985 1,280 $451 3 UDU-M 1988 1 $131 Sales History Previous Owner MAVIS JULIUS E EST OF Year Month Book/Page Type Amount 1990 09 1950 / 1807 PR $38,000 1971 O1 0537 / 0687 $13,200 http://www. appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&... 11 / 14/2011 :� t� � �` 0 ` � �a��'' y, ��rcc. A Division of Ryman Consiruction, Inc. Proposal # � 8�� iNC. 36413 SR 54 • Zephyrhills, Florida 33541 � Estimate # d Phone: 813-782-6094 • Fax: 813-788-6773 • License # CCC 1325505 Job # 2�� -800-800-ROO� A1so, Sewing the Central and East Coast of Florida (7663) Customer: r� �S► P �a�So� Date: lC � '" �� Address: �� Z Z 7.0' � r� CitY. ��by f�, �`!S Zip: 3$� G / � Home #: 8! j° Z�Z" �9 �� Cell #: Business #: E-mail Ad ess: � plete tear off of e�sting 3 f�L� ��'�L3i �� Additional Items: /�P'C"��i S� C'� �%NhCy ecure all loose roof decldng as needed according -!1_C� �d�" �,�D �n✓' �alf / to Florida Building Codes �'�R °f dried in with ! �'J �P/'� � CgI all new valley metal with galvanized metal � 1 all new _�" drip edge color: � all a11 new lead boots �all all new � year fungus-resistant shingles �'S ' gie brand/color: ta� r= S,'i°.�✓1�f Sv� S�'� e � �J Wamaxrty Package. of related debris removed from job site d,` materials, labor and permits furnished Tota1 bid price $ Z,GG � Extra's ad plywood replaced at a cost of $�-�1 � per sq. ft. in the roof field. All other wood work/additionallabor, such as, but not �. ��. limited to, valley rebuilding, rafter replacement, etc. will be a rate of $ S.� per man hour plus the cost of materials. TfiIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT. 1. All material is guaranteed to be as specified and completed in a substantial worlananlike manner. 2. All agreements contingent upon shikes, accidents or delays beyond our control. Owner to carry fire, hurricane and other necessary insurance upon above work. 3. Iabor warranty does not cover damage to roofs caused by lightning, hurricane, tornado, haiLstorm, unpact of foreign objects or other violent storm or casualty damage to roofs due to settlement, distortion failure or cracldng of roof deck, walls or foundation of a building. 4. Worlunan's compensation and public liability insuraz�ce on above work to be taken out by RYMAN ROOFING, INC., a Division of Ryman Construction, Inc., or it's subcontractors. 5. RYMAN ROOFING, INC., a Division of Ryman Construction, Inc. is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deteriorated decldng or fascia boards, is not included and will be charged as an extra unless otherwise stated herein. 6. This contract is subject to final approval by RYMAN ROOFING, INC., a Division of Ryman Consttruction, Inc. and is the entire ageement of the parties and no other written or other forms will recognized. 7 A charge of 1.5% will be made on all unpaid balances after 30 days, plus charges incurred for non-payment procedures, plus attomey's fees. 8. A 4S5 processing fee will be added to all credit card orders. $yman RooSng, Inc., a Divieion of Ryman Construction, Inc. will not be responsible for any daznage to septic tanks, sod, shrubbery, paint, satellite signal loss, sprinklers, concrete drives or any underground piping. PaymentSchedule: �,/o �t'�S��uj(�. ba�cc+'!Gi e/✓< ��P ymen Me�� D ��°� Acceptance of Proposal STATUTORY NOTICE RE ARDINC'T ON TR Ti(�N IEN • ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PItOVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM 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 PEOPLE 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 I5 FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A 5UBCONTRACTOR 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 RELEA5E OF LIEN FROM ANY PER50N OR COMPANY THAT HAS PgiOVIDED TO YOU A"NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. I ACCEPT THIS PROPOSAL AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS CONTRACT. Purchaser: ��1 � „`� ��r�sy� Date: Purchaser: Estimator: -�� p9 15 . 3( r�v�-A�� SurrLY ��J , a5G5G�GG'L�� '1' r��al ��b r " F•., •n • � A lfii7�Wi�i ' ' �iltl'/� eas Hom� ' L.op ln ? Uar Reglstr�tlon ' Hot Toptes SuDmlt SurcNer�e Stats A Fec� PuWlcaaons REG Spiff � BC15 �a Map i Un1c 5rwd� ' � ��ro�YatAMrw�l � us�: ruwrc u� �y�py�,� a Prod�� or ��aeen_�rch s poi(C�t1011 Ll�t �M11�Oh dfarfll R�flne•��f1Mt� Code Vaslon 2007 Ft.,� �- App�NOn TY9� ALL Product Manutadure� GAF Mat��s Corper�na► �ory ALL 5ubeaopory ALL Appikatl� Status ALL Compllanoe M�hod � Qwpty �uranc� �nt�tY ALL QvaUly AsW�na �atihr Cord�ck ExPlred ALL ' product Mode1. Nw»her or Name ALL Produc! M�cNptlon �- Approred for us� � HVHZ ALL APProv�d for us� outslde IiYHZ � Im�d Rs��t ALL D�algn Pnssur� � Oth�r w- �+rrer Mewiti - B� � � - - - -�-�- � �IR �¢� ReWsion OAF Mat�lak Corpor�tian 7oNa W. Knezevich. APVroved y� C�b�o�y: R�ooAna �bper� Gme�ts-AdtHSives-Co�tinys _ (954) 772-6224 pj,� Reviqon CAF MauMats Corporaelon Jehn W. Kn�evleh, Approved PE � ��e 5M�pfe V!y Iio� Gystams (954j 772•62Z4 Fl.a911_ Rwislon GAF Mah�tals Carporatlon �ohn W. Knezwich aPProv�d PE �CL � 11YstM'pr'ooAng (954) 772�6224 � R�vislpn 6AF Mab�b Corponition ]otm W. KneseWch, ApproVed BZ �r ��0 �, MIL�Nwwn SN1q1! Ply Roef Systelm (9s+) ��z-a�� Revlston Wtif MstriaN Corporatlon 3ohn W. Kn�wich, APProvad � � � ModlMd 61tIm1N1 Roof 5yst�m (964) 772�6224 � R�Wslon GIW MK�rMb Corpontion �ohn W. Knaevld�, APProv�! BZ C�MNw1R Roo�� PE � �ie�apryr Itoofing Acc�orlaa thet ars an :Ma9ra1 Ra�t of tha (95�) 7T2-5224 Rooflno Sy�m � R��rle�en BAF M�EwMk Caporatloa 7obn W. Knwvkh, Approved Bl C+�1►� Roollaq P� !ll�o�c �1� Undai�qnwnta (s54) 77z-6�z4 bn ci/1F b Corpetatlon ]ohp W. KnvnWch. Mprovea Bl � ��Y PE li�qc �� s� (�sa) rn-�4 � Naw �� r+tlan ]ohn W. Kn�vich. APProvatl � �yt Nndalamants (!S4] 77E-4224 �, New fdlF �IS Corpor�don bhn W. Kneoervlch. 1lppreved � �� Built up Rootln9 ... (9S4) 772-6274 pG'� �r,�.nen O�/rp1�IMf ��AYIMAMAr�1NrIVs �P'J rplPr/Pr�YPJst.�sVx P�qe 1 af 2 �d� 15 :37 �tc�r�—A�� SurrLY �u. �S5G5L�i'G'G'L�I �.1� .ra�asf�aab r 'R:, •n • �. A ((�I�iil:i�iii�7�I �iYi/� EQ! flWllt ' L00 In + Ucer RNJhJC7tlOrt ' Noi TopNs Submlt SLnCh9rye StAb a FeCCG PubltCatptK PEG SLSI'f ' OQS �C MaP i �Jnl� iewd+ ' � ��o�atw�roval i ulRa: Pu61rc us�v � > �YO�(atloll U�t �� R�fln� p S��rM Code Vaslva 2007 Fl# � �� Type ALL Product Manuladurer G� Mat�l�ls GaW°�n°n � ALL Subaapory ALL AppUeatMn Status ALL Compllanc� Method � QwliLy A�uranee �ntlty ALI. Qqality Assur�nce �ntfty Contraet Exp�red ALL ' Produet Model, Numf�r or Name ALL Produe! D�scrlpllon � I1ppnOVed for use M HVHZ ALL Approtad tor uoe outsfde HVMZ ALL Im�d Rs�i�rc ALL Deslya Pnssaro � Otha w- d�r+d� Rewd�r - � � � w�� F g20. 7 Revisbn GAF hl�tKla� Corpo�tion 7oha W. Knesevich. APIW�Ycd �L C�b�e� Itoolinq PE �nbaMpery: Comonts-Adhasives-Coatings {954) 772-6224 � Revis�on CA� Mat�r�sts Corperatlon Jehn W. Kn�aWeh, Approved � �pp� lYai.�.rys 5 91! Ply Roo! Systanns (954) 772-6224 p�= P.ov+slon GAF Msh�fa� Corporatlon �ohn W. Kn�zwich, ApProved � �rri ReoAn� PE �pC �ryt WatM'prooting (954) J7�-6Z24 R�vislon WIF Mai�►lab Corporation � n W. Knaaavich, Approved F1� � �� L �? Shgle Ply Roef SystlMts (954) 772-6124 � Rerisloa WIf MstrNb Corporatlun 7ohn W. Kn�rleh, APProvsd � tl�j� � aie�,a+ r� sysc.m (9a+) m -6224 f� Revislon GAR MaE�b Corpor�tlon Ehn W. Knaevlah, APProved � � �� RooAng A�saorl�s that �n an YMS�ral Part cf :he (95�M} 772-62z4 g�¢3Z Rtvban BAF M�brMis Corporatiw� 7obn W. Kna�vich, Approv�d PQ � �� u �I�ynwnts tas+) ��z-s2z4 loa GAP It Corpot�aclon ]ohn W. Kn�t�vich. APprovae RooRn � � :�1n �� s�� (994) 772-6224 � N�w GAF Ma�p�� COfporattan 7ohn W. Kne�Wch, APProvda M�e�rys ndMayrt�ents (954) 77E-4224 � Nerv GAF �IS Corporstlon T ]ohn W. Kn�owlch. Apprevad �!R qppAtp PE inra�rys BaIR up Rooflny .... (9S4) 772-62Z4 QC.�'.�. O�M/NMNIt �f CNw�wY1YANrMa M1p://Www.Ao�bulldl�y.orylpNpr�PPJst.�spx p�e i of 2 i �iiiii iiiii iiii� iiiii iiiii �iiii iiiii iiiii iiii� iiai iiii iiii 2011176643 Repl:1398892 R�c: 10.00 �et'ective: october t,2o11 DS: 0.00 IT: 0.00 Retumto' 11/1 4/11 K. Garcia, Dply Clerk NOTICE OF COMI��NCEMENT � t - StateofPiqryda PerniitNo County of `YCc.�C C� T�x Polio No. . , j The undersigned hereby gives notice lhat improvement will be made to certain real property, and irt accordance �vitlt Chapter 713, Florida t�hites, the followi �in is provid in i o ice o�omme nentP ��. I �Desc�ptio o�Prope� , rty S�� p�� 19 � �� , 33S�a �-� � �a•3.�.ai. oo►o. od �o� So �� 2. General description ofimprovements:� �� p � r ' � �,,. a p N 3 Owner Information or L,essee information if the Lessee contr�cted for the improvement: �� o � �� r z a. Name and Address: �D� .��Sy � m rh� �S , r . � '" b. Interest in Property• �� z c. Name/address of fee simple titleliolder �fdifferent from Owner listed above): � o � N � a � ' N 4 Contraclor �' � .� r o � m a. Name �nd Address: YY'PCr1 f�(S'Q� p� � � rh.�t�s �-1 3 35y) N"''� , b Phone number . •�O n� � w ' � �~ � M o 5 Surety (if applicable, a copy of payment bond is attached): � � � j � A i a. N�me �uid Address: � r r m Phoue number � Amoun� of bond: $ 6. Lender� a. Name �nd Address: b. Phone ntnnber 7 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7(3 13(I)(a)7, Florida Stahrtes: �. Name �nd address: " � b. Phone numbers of designated persons; ' 8. a. In addition to Itimself or heCSelf Owner designates � of to receive a copy of tlie Lienor's Noti�e as provided in Section 7] 3.13(1� (b), Florida Statutes. i . i b. Phone number of persoia or entity desig�inted by owner � . i 9 Expiration date of notice of commencement (tlie expira4on date may not be before tlie �ompletion of constn�ction and final payment, but will be 1 year from die date of recording unless a different date is specifiea) WARNING TO OWNER. ANY PAYMENTS MADG BY THE OWNGR AL'TER THE EXPIRATION OF�i'HE NOTICE OP ! COMM�NCCMENT ARG CONSIDERBD IMPROPER PAYMENTS UND�R CHAPTER 713, PART I, 6CCT[ON 713 l3, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYMG TWICE FOR IMPROVEMENTS TO Y UR PROPERTI' A NOTIC� OP COMMENCEMENT MUST BE It�CORDED AND POSTED ON THE JOB SITE BE + ORE THE FIRST INSPECTION. IP YOU INTEND TO OBTAIN FINANCING, CONSULT W[TH YOUR LENDER OR�AN ATTORNEY I BEFORE COMMENCING WORK OR R�CORDING YOUR NOTICE OF COMM�NCEMENT j Under penalties of perjury, 1 declare th�[ I have read the foregoing Notice of Commencement and that the facts stated in it are tnie to U�e best of my knowledge flnd Uelief. ( ignahve of Owner or essee, or O�vner's �r Lessee's Authorized OfficerlDirector/PuMer/M�nager) I Signatoty's TiHe/Office: STAT� OP �LC./L�lc�� , COUNTY OP P'A�[ r� The foregoing instniment was acknowledged before me this �� of �C�� 20 1) , by ��S s'� for Notary Pubh , te of rmted Name: Personatly Known OR duce Identific�tion �, �, Lj ��--�� Type of Identification Produced _ � • �. (_ . '�— My Commission Expires: "�'" HOLLY HOPPER ;�`�' '4�s ?;�. '" MY COMMISSION # EE070468 '',?„ EXPIRES May 16, 2015 107 39&0153 FloridallotarySsrvlc�.00m STATE OF FLORIDA, COUNT'�l''dF PASC� THIS IS TO CERTIFY THAT TH��FOREGOING IS A TRUE AND CORRECT COPY OF T�-IE DC�UMENT 'k�1,5�FFICE ON FILE OR OF PUBLIC RE�ORD INf . WITN MY HAND A OFFICIAL AL�'F�IS �� DAY OF ' : 2 �'� _ �q�� NEIL, CLERK & COMPTROLI� R �,v DEPUTY CLFRK