The URL can be used to link to this page

Home My WebLink About11-12594 CITY OF ZEPHYRHILLS 5335 - 8TH STREET � ' (si3)�so-oozo 12594 BUILDING PERMIT Permit Number: 12594 Address: 6650 PISTACCHIO ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: RIGHT-OF-WAY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: DRIFTWOOD Est. Value: Parcel Number: 02-26-21-0240-00000-0010 Improv. Cost: 6,225.00 Date Issued: 12/06/2011 Name: WITTER, VIRGINIA Total Fees: 70.00 Address: 6650 PISTACCHIO ST Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/06/2011 Phone: (813)780-6737 Work Desc: TEAR OFF & REROOF 25 SQUARES AF SHINGLES -, � � � �� . � TAPE JOINTS ROOF INSP� n FINAL -- �iV 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 reoord 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 reoording 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. f CON C R I NATU E PERMIT OFFI R RM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 02-26-21-0240-00000-0010 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, December 03, 2011 Parcel ID 02-26-21-0240-00000-0010 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value WITTER VIRGINIA L Ag Land �p 6650 PISTACHIO ST Land $20,730 ZEPHYRHILLS FL 33542-6640 Building �g9,622 Physital Address Extra Features $92p 6650 PISTACHIO ST ZEPHYRHILLS FL 33542 Just Value �111,272 Assessed (Save Our Homes) $111,272 Leaal DeSCriDtion (First 4 Lines) Homestead 196.031 -$25,000 See Plat for this Subdivision �'°' Non-School Additional Homestead Exemption -$25,000 DRIFTWOOD PHASE IV-A PB 32 PGS 98-99 Non-School Taxable Value ;61,272 LOT 1 School District Taxable Value $86,272 OR 4541 PG 285 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 Descrlption 2oning Units Type Price Condition Value 1 0100 SFR OOR4 1,640.00 �F $10.13 1.00 $16,613 � 0100 SFR OOR4 1,790.00 � $2.30 1.00 $4,117 Additional Land Information Acres 0.08 Tax Area ZH FEMA Code � Residential Code DRIFLPl Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1996 Stories 1.0 Exterior Wall i Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Drywall Interior Wall 2 None Flooring 1 Sheet Vinyl Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost New 1 BAS 1,322 $82,096 �— 2 — 1 FEP �— 376 $16,332 3 S� 322 $8,011 Eutra Features (Card: 001 of 001) Line Description Year Units Value 1 DWSWC 1996 640 $920 Sales History Previous Owner JOHNSON ALBERT & Year Month Book/Page Type Amount 2001 02 4541 / 0285 WD $85,000 2001 02 4541/0284 � �p 1998 � 06 4049/0059 � �p http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21 &sbb=0240&b... 12/6/2011 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Departrnent Date Received Phone Contact for Permittin �-�-�� Owner's Name �`(� 1 1 1� � Owner Phone Number al �' ��' l.k � / Owner's Address �(1 (O �� 2. • 1 C� �� Owner Phone Number � � Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS l.�lSl �l � O c • • fZ J� � LOT # � SUBDIVISION w , PARCELID# O • •Ud�b• • (O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT _ SIGN � Q DEMOLISH INSTALL 8 REPAIR (� Q�, PROPOSED USE � SFR Q COMM OTHER TYPE OF CONSTRUCTION �, BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK (�BC {C� (�pp Q t�t,S i.r� �� ; � BUILDING SIZE SQ FOOTAGE�] HEIGHT QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ i� MECHANICAL �`" � � � 0 $ VALUATION OF MECHANICAL INSTALLATION I QGAS � ROOFING Q SPECIALTY Q 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/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER �. �'� COMPANY � I rr� i � f� �� . SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address � �� License # �� ( • , � � J� � RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; 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 PeRnit for subdivisions/la�ge 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 consUuction. 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 requlred for all NEW construcUon. aia� � � � r nr�7TTi Pi f T7 � Pt � � � � � r� � � � Directions. " � � Fill out application completely. Owner 8 Contractor sign back of application, notarized If over 52500, a Notice of Commencement is requlred. (A/C upgrades ove� 57500) "' Agent (fo� the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same OVER THE COUNTER PERMITTING (Front of Application 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 ar�y 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 IMPACTIUTILITIES 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 delive� it to the "owne�" 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 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 materfal 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 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 authoriry 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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 11 .03) y � ' '` OVIINER OR AGENT CONTRACTOR Subsc�ibed and swom to (or aflirm befor s Subscribed and swom to (or afflrme b fore me t' by b Y Who is/are personally known to me or haslhave produced Who is/are personally known to me or has/have produced as identlflcadon. as identification. Notary Publlc Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped �'"�� . � �3 �� r • � . �� rVI �'� - A Division of Ryman Construction, Inc. License # CCC 1325505 Customer: Driftwood HOA Date: I 1-10-11 Code#: 075 Address: 6711/6651/6650 Pistachio St. Zephyrhills, FL. 33541 Contact Numbers: 813-780-6737 or 813-469-7075 Job Description: 1. Perform tear off of existing shingles 2. Re-nail deck according to Florida Building Codes 3. Dry-in roof with #30 felt paper 4. Install new 26 ga. Galvanized metal in all valley's 5. Install new 5" drip edge Color: white 6. Install all new lead boots with mesh guards & general roof vents 7. Install all new GAF/Elk Timberline HD Lifetime dimensional shingles 8. Shingle color selection: Slate 9. Install 50' of new gray aluminum ridge vents per unit 10. All roof related debris removed from job site I 1. Ail materials, labor, and permits fumished 12. Provide a 5 year labor warranty all above referred work Additional items: Bad '/2" plywood is replaced at a cost of $1.90 sq. ft. in the roof field. All other wood work such as but not limited too, rafter replacement, fascia board replacement, etc. will be charged at an hourly rate of $55.00 per man hour plus the cost of materials; any additional charges WILL BE approved by HOA prior to commencing of said work; digital photos will be taken of damage wood if applicable Additional Notes: Bid price includes up to (1) sheet ofplywood per address; no service call fee for warranty related issues; a$85.00 service fee charge maybe charged for any NON warranty related service call Payment to be made as follows: 25% down, balance �aid upon final completion of job Total Bid Price $6,225.00 per building ($18,675.00 for a113 buildings) This becomes a binding contract upon accepiance of proposal. Purchaser acknowledges a copy of this contract. 1 All material is guaranteed to be as specified and completed in a substantial workmanlike manner 2. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, hurricane aud oUier necessary insurance upon above work. 3 Labor warranty does not cover damage to roofs caused by lighting, hurricane, tornadq hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due to settlement, distortion, failure or cracking ofroof deck, walls or foundation of a building. 4 Workmen's compensation and public liability insurance on above work to be taken ou[ by RYMAN ROOFING or its sub- contractors. 5 RYMAN ROOFING, INC. is not responsible to provide any materials or to perform any work other than what is described above. Replacement of deteriorated decking, fascia board or any otl�er additional materials/labor that maybe needed and is not described above will be charge as an extra unless otherwise stated herein. 6. This contract is subject to final approval by RYMAN ROOFING, INC. and is the entire agreement of the parties and no other written or oWer forms will be recognized. 'I A charge of 1.5% will be made on all unpaid balances after 30 days plus attorney's fees. 8. A�% processin� fee will be added to all credit card orders. This proposal may be withdrawn by Ryman Roofing ifnot accepted in (10) Days * Prices subject to cl�ange without notice unless Proposal has been accepted by both parties The above prices, specifications and conditions are satisfactory and are hereby accepted. You are Autliorized to do the work as specified above. Date: ,,�� Purchaser: ,,,� . G ' • _ � � � � � Date: jl�"-�3��\ Estima Ryman Roofing, [nc. will not be held responsible for any satellite signal loss, septic tank, sod, shrubbery, paint, concrete, pavement, sidewalk, gutters, down spouts, screening of any rype, and/or any other type of piping damage that may occur from the above referred job. 36413 SR 54 • Zephyrhills, Florida 33541 • Telephone: 813-782-6094 • Fax: 813-788-6773 �' I � �� 15 :37 r�1�Ul� SUYt'LY l;U. S5G5L�iG'L'Cf '1' .."�bS/��Ob r .�;. .,, . �. �' �G '" ,.' ' ' '"•' • � EQS tlame ' I.o9 lrt E Uwr Regts07tlon ' Moi Topks SuOmR 5urcherpe Stab A FacES PuWlcaGOns fEG SOdP ��t5 �4c MaP i 41n1e �nrreh � �IO�Ct w�f'OY�I � Ul�: h�Wk u,ryr } p��rr ar �,r.q_raton c_.arch s MYI(O�tIM LI� �� R�1'Ine' SEeIYh Code Verilon 2007 FtS AL.I. �ppl�on �rype ALL Produd Maeufacturcr GAF M�1s GOrperanen �pory ALL Subao�pory ALL �►PP��on Sbtus ALL CompYanee M�thod ALL QwMtY �urana �nt1tY Au, qu�rpt�r Asw�nce �ntit�► Contraet E�ca�r+�d Au ' Produet Model. Number or N�ma ALL Produc! DacrlpClon � Approred for use k� HVHZ ALL Approwd for use out�)de HYHZ ALL In�t ReslStarrc ALL Desiqa Pnssur� ALL Otha � �r�eh Mewitr - �t �, � Yi�11L 1Lt#tIIR � R�Mslon 4iAF MatKla� Corpor�tion �� 7ohn W. Kna�vich. APw'oYed �L C�r�w!►z RooA� PE �s Gmonts-Adhosh�es-Coatinys {954) 772-6224 � Pt�vle� CA� Mst�rtats Corporatlon Jehn W. Kn�eh, Approvad B2 crey.ry: RoaAnQ � �pp� 'in�a�.�..yc 5N1QI! P!y Roo! �ystlnl5 (9S4) 772-6224 FLa911_ Rerslon GNF Matarhis Corporatlon 9ohn W. Kna¢evfch, Approved �pC � Watrrprooting ( 54) 77�-6�?4 � Revi�lon tiAF MabNab Corporntlon John W. 16�ezalch, i�proved �LX �7R S M�iqle Ply Ree� Systen�s (9 s} »z-�zzs � Rerisioe GAf Mst�als Coryoratlon �ohn W.1N�wich, ApProvsd � MIro�R�rya �M�d 81t1Rtitti1 Roof Systam (9b4) 77Z-6224 FL6Z6Z R�vlsinh GAF MNtai�b Cwpaatbn �ohn W. Knozevkh, APRrovsd � � �� , �1qM�rgt Roafing Acc�ort�s that are an �ntayral P�rt of tl�� (954) 772-622A Roa�Y S�I�t�rt p� Revbbn GAF M�4rMb Cwporatica 7obn W. Kneuvkh, Approred � �M� WId�1l�yfflillts (954) 772-6224 loe Is Co�pot�atbn ]ohn W. KnoteWch. APprovaa Bl � �9 � l�aqc s�o.+.�.� �� hs t9aa) rn-aua F.Ll�2f� N�v GSAF MtEM'I�Is Cofporattof► 7ohn W. Kn�zavicb, APProv�tl � �� s�> »t-�:� �$, New GAF bptWdf Corpori�dph —� ]ohn W. Knaodwlch. Apprevad �� Bullt up Rooflnq (9S4) 772-6224 p� �n�nuhwt�an O�M/OINi1tN Q�IIwINeIlYAN�Ms M�ps/lWww�.orylP�/P��VPJat�spx V�qe i of 2 Pasco County Parcel: 02-26-21-0240-00000-0010 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, November 26, 2011 Parcel ID 02-26-21-0240-00000-0010 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value WITTER VIRGINIA L Ag Land $0 6650 PISTACHIO ST Land $20,730 ZEPHYRHILLS FL 33542-6640 Building $89,622 Physical Address Extra Features $920 6650 PISTACHIO ST ZEPHYRHILLS FL 33542 Just Value $111,272 Assessed (Save Our Homes) $111,272 Leclal Description (First 4 Lines) Homestead 196.031 -$25,000 See Plat for this Subdivision �` Non-School Additional Homestead Exemption -$25,000 DRIFTWOOD PHASE IV-A PB 32 PGS 98-99 Non-School Taxable Value $61,272 LOT 1 School District Taxable Value $86,272 OR 4541 PG 285 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 OOR4 1,640.00 SF $10.13 1.00 $16,613 �2 0100 SFR OOR4 1,790.00 SF $2.30 1.00 $4,117 Additional Land Information Acres 0.08 Tax Area 30ZH FEMA Code � Residential Code DRIFLPI Buildin9 Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1996 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 i Drywall Interior Wall 2 None Flooring 1 Sheet Vinyl Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 �ine Description Sq. Feet Repl. Cost New 1 BAS 1,322 $82,096 2 FEP 376 $16,332 3 FG R 322 $8,011 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWSWC 1996 640 $920 Sales History Previous Owner JOHNSON ALBERT & Year Month Book/Page Type Amount 2001 02 4541 / 0285 WD $85,000 2001 � 02 4541 / 0284 �C $0 � 1998 06 4049 / 0059 C�C $0 http://appraiser.pascogov.com/search/parcel.aspx?sec=02&twn=26&rng=21 &sbb=0240&... 11 /30/2011 ' � Effective: October 1,2011 IIIIIIIIIIIIIIIIIII�IIII�IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII 20 11188470 " Retum to: NOTICE OF CO�NCEIvIENT State of Fiory�a� County of y Permit No. Tax Folio No The undersigned hereb -- Chapter 713, Florida Statutes, the fol o�win n n t alion s ded in this Noti e ofCo maencemento e p., '_� P P rty, and in accordance, with I 7 � �� ' °'1 ' �1p • 0�11- Desc� Pr�op�e_rt`y: (.Q� � M � °l � � � • C7C� 1 O T "' r �5Q I V�' P�Cj ��.,�� g '�� z• General descriptipq ofi �oye n � : ��S c� �,� � ��t. 3 3Si1 a. 3 t � � y Sy j � ° � a� Owner Information or Lessee information if the Lessee contracted for the improvement: a• Name and Address: 1 f ' 1 �_ � �' �'�P .�riTtwood T � � b• Interost in Pro e ' �� i�- 335�{a. °• Name/address of fee si�mP e titleholder (ifdifferent from Owner listed above): 4 Contractor: � a Name and Address: (Y� �� {� .,.,, v�-1 L b• Phone riumber• rI'l1US� �, ��i.� I � 5 Surety fifapplicable, a co of a '�� pY p yment bond is attached): e� Narne and Address: RCpt :1402621 ' Rec: 10.00 b• Phonenumber� DS 0.00 IT: 0.00 12/06/11 C. Cook, Dpty Cle�k Amount of bond: $ 6 PRULq S 0'NEIL,P Lender: 12 /06/1 j h � PRSCO CLERK 8, a� Name and Address: OR gK � �i j � b• Phone number• v � v PG o � 5� �• Persons within the State ofFlorida desi served as provided by Section 713 13 1 a 7 , Florida Statutes; �a�ed by oW�er "po� wnom nocices or other documents may be �)O a• Name and address: b• Phone numbers of designated persons: �_ 8 ' a• In addition to himself or herself, Owner designates Statutes. fo �eceive a copy of the Lienor's Notise as provided in Section 7j 3 13 1 of � )�), Florida b• Phone number of person or entity designate8 by owner• -----_ . 9 � $xpiration date of notice of commencetraent (the expiration date may not be before the completion of construction and final payment, but will be I year from the date ofrecording unless a different date is specified) �_ ; WARNING TO OWNgR, qNy pqy��TS MADE gy T� ��ER AFTER THE EXPIRAT[ON OF T COIvIIvtENCEMENT qI2E CONSIDERED IMPROPER PAYMENTg UNDgR CHqpTER 7I3, pqRT I S � OOT 13 OF FLORIDA STA'I'UTgg� ,qND Cq� � S� T I N Y O U R p A Y I NG TWICE FOR IMpRpVEIv[�TS TO YOUR PROPERTY A NOTICE OF COA•IMENCE I v� N j M� S T B E R ECORDED ANp ppS�D ON TFIE JOB SITE BEFORE T[-IE pgtST INSPECTION. IF YOU IN'TENp TO OBTAIN FINAi•ICING, CONSULT WITH YOUR LENDER ptt qN qTTORNEy BEFORE COMIvvIENCp.�G WO� OR �CO��G YOUR N01'ICE OF CO1�II�IENCEIvIEN'I' Under penalties of pery'ury, I declare that I have read the foregoing Notice of Commencement and that the fac[s stated in it are t-�:e to the best ofmy icnowledge and belief. _� � ^ ; . o w ! (Si�atu e of Owner or Lessee, or Owner's or Lessee's Authorized OfficeNDirectodPartriodAqanager) Signatory's itle/Office: STA'I'E OF Q COi1N7'y OF D�/af/ �_ The foregoing instrument was acknoH before me this� day of ��}� M � for -_ �� Z �� by � as _.._. _.�__ Personall ''�g Notary Public, State of�_ Y Known _�_ � produc�d•Identif cation printed Name: T yp e ofIdentificationProdu ce d ° —;--. G�T�4��Q Q� _� �• . — , � ; , . ' My Commission Expires; .,. � C , ,s�w � � 'C,o ^ � m . � ` �, �,�o+re•� ,,- ,�^„ ;%;biir, State: �;! Floridi *c ,� � Icpr.r� Rvff?8fi � ' ' . � `- �c ` a �V�y Comm�ssion DD751o10 r `, � � 'EOFS�°� ExPire501;24/20t2 r. � ��A�E �!� ��ORlDA, COUNTY C�� pSCO THIS IS �rC �ERTIFY THAT THE FOREGOiNG IS A TRUE ,qND CORRECT COPY OF 7HE DCJCUMENT ON FILE OR OF PUgLIC RECORD IN THIS OFFICE �r��TNES MY H,4ND D OFFICIAL SEAL THI$ j ' �aY oF ��_ P LA S O'NEIL. C K& COMPTROLLER , - '��'�L.��✓ I'��PU�� CLERK