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HomeMy WebLinkAbout09-9172 CITY OF ZEPHYRHILLS 5335-8TH STREET �sis��so-oozo g�72 ' ' BUILDING PERMIT ,i �z: �' ;�� s� ai s, yi32:?:. i '�g.�° ._ � . . Permit Number: 9172 Address: 39737 MEADOWOOD LP i Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL. Class of Work: SHED INSTALLATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MEADOWOOD ESTATES Est. Value: Parcel Number: 13-26-21-0140-00000-0560 Improv. Cost: 3,010.00 :��g �. ��,�;�.: a �;::;�.�a"�` y��� Date Issued: 6/02/2009 ,Name: SCHAEFER, M IA L Total Fees: 75.00 Address: 39737 MEADOWOOD LP Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/02/2009 Phone: 813 376-1008 Work Desc: INSTALLATION 10 X 16 SHED ,� ,;��,Ye. ,,.�. �'�a<�$^;�Jt�'�._ .. . :,� ,.Y,,�_ .. .,� �.r :s� :�c�� s :.£ < 2 iS,d.. .. .�;, r� . , e . :e3 . .. ,, �.<..r <.�-<:.. . '-""' :• , , ' . , .�,.,�•; . , �._....- COOK SALES (VISTA MARKE ING) BUILDING FEE 75.00 ���,��"> . � , e �- � �- � �- �� .. � I _ � �.J� ��� � !'Y�ag.r�:• . `�a'+�.• `�.a �,y •.�, +`�'<�a. . .:�z,= v -� ,�; .�..; ».� s•.�<.' �'"' • .:v:� , ;��t.,r,. _ra.�;�, �.?.:<S." tl'�; ^> ��P:, .:��tf: m:.�a•` �:'. �.�i.a•a,,,�; FRAME SHEATHING FINAL REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site� plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before rding y notice of commencement." � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . ,. �,.. �,:; �..._,.��.,� City of Zephyrhills BUILDING PLAN REVIEW CONIlV�NTS Contractor/Homeowner: � � �� ��" ` . Date Received: J' 2 7` �� Site: � / 7J� � /"�F'�C�'i-c���j� Permit Type: '���s��P �c� x /,� .�� Approved w/no comments:❑ Approved w/the below comtnents: Denied w/the below comments: ❑ `�, L � � � � ��� � . ; This comment heet shall be kept with the permit andlor plans. , � Kalvin Switzer—Pl Examiner Date Contractor andlor Homeowner (Required when comments are present) CITY dF ' / / / � BUILDINt1 , ZEQMYRHILLS DEPARTMENT OF ADDITION OR CORRECT _ � • • - • , ADDRE DATE PERMIT�, �� j7 �,, �_ � THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall made before t job will be accepted. �Q�''� v.��0,�-1 I�Y1 t� It is unlawful ior any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth or other material,until the proper inspector has had ample time to approve 780-��2 R -� E TION the i�stallation. OFFICE HOURS 7:30 AM-5 PM MON-FRI. INSPECTOR c� 813-780-0020 City of Zephyrhi�ls Permit Application � Fax-813-780-0021 Buildin�g Department ��/? !� ( ' ��3 'l�� �`('�� Date Received � �,2(� l�� Phone Contact for Permitting -- — Owner's Name � � � �� E r i HS ������ —�Owner Phone Number ��l�^�7�' lCr� �Owner's Address J� �`3 ( ���� �� 'v�, �Owner Phone Number ���~C'7� ��s Fee Simple Titleholder Name I, Owner Phone Number Fee Simple Titleholder Address /^JOB ADDRESS `3 ��7� � ��e � C� ��I� �� � LOT# �� SUBDIVISION PARCEL ID# i (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN � MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE SFR � COMM Q OTHER TYPE OF CONSTRUCTION � BLOCK 0 FRAME Q STEEL Q OTHER DESCRIPTION OF WORK ��N��G�" �� X�� S�f�'� ��BUILDING SIZE �� � � �P SQ FOOTAGE �`�{'C HEIG T � d r l- � �] BUILDING $� � ��� � VALUATION OF TOTAL CONSTRUCTION � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, � PLUMBING $ � Q MECHANICAL r$ VALUATION OF MECHANICAL INSTALLATION �� I � GAS Q ROOFING � S ECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO BUILDER ������ � COMPANY �'o�nls� L�'� ��c� ' � SIGNATURE u 1 «� REGISTERED Y/ N FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address I License# i MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y!N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)setl of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. F��equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for�ubdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life�afety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. R�equired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for II new projects.Ail commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. *"*PROPERTY SURVEY required for all NEW constr ction. Directions: Fili out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgra es over$5000) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A!C Fe� ces(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW . VIS'�A MARKETING PORTABLE SHEDS 3161 H1��Y 301 SOUTH, ZEPHYRHILLS, FL. 813-788-5459 FAX. # 1-888-502- r- �„" SALESMAN/AEALER — CARL CASTEN 813-788-5459 DATE: OS-23-09 ORDER TREATED ItOOF COLOR ON LOT NEW XX PAINTED SIDE COLOR ON LOT USED . TRiM COLOR INVENTORY# SLB142921016 041309 FL �9� SIZE ' OPTION DESCRIPTION COST BARN X � $ LOFTED BARN X 2 $ SIDE UTILITY X 3 $ UTILITY X COTTAGESHED X GARAGE X SIDE-LOFTED BARN 10 X 16 CABIN X LOFTED BARN CABIN X PL;'RCHASER NAME THEODORE OR MIA JEFFRIES MAILING ADDRESS DELIVERY ADDRESS 39737 MEADOWLOOP DR. ZEPHYRHILLS,FL. 33542 HO�vfE TELEPHONE(Include Area Code) 813-376-1008 WOAK PHON�NtTNtRER(Include Aroa Code) CELL PHONE NUMB�R(Include Area cude� OTHER(Include Area Code) 813-676-8852 CASI-�SALE COST RENT-TO-OWN-SALE COST 1 SALES PRICE � �� 1—T SALES PRICE $3010.00 2 OPTION COST'(Describe Above) � $ 2 OPTION COST Describe Above) $ 3 TOTAL PRE-TAX COST(Line 1+Line 2) $ 3 TOTAL COST Line 1+Line 2) $3010.00 4 SALES TAX(Line 3 x 0.07%) � 4 DOWN PAYMENT AMOUNT $ S TOTAL COST with Tax(Line 3+Line 4) �'s 5 NET DOWN PAYMENT Line 4/1.0 0.0.7% $ 6 AMOiJNT TO RTO(Line 3=Line 5 $3010.00 6 AMOGNi'RECEIVED � 7 MONTHLY PAYMENT Line 7+Line 8 $139.35 8 MONTHLY SALES TAX Line 7 x 0.07% $9.80 7 NET'AMOUNT DUE(Line 5=Line 6) S 9 TOTAL PAYMENT(Line 7+Line 8) $149.75 10 SECURITY DEPOSIT($100/$150/$200 S I50.00 8 AR[VER COLLECT � i l TOTAL RECEIVED(Method—MONEY ORDER SS $299.75 � DRA W ING DOORS FACING DRIVER'S SIDE � DIRECTIONS I � � Weather King and ds agents are not responsible for permds,setbacks,restncticns,cove�ants cr anu.a�rg Please contact yc���ocal codes department or Homeowners AssoUation.�t is up ro the wstomer to decide whether ground conCi;�ons are suitable for delivery. ^Neather King is not responslble tor yard or driveway damage Fr°e delrvery and ieveling includas ne t �adtlitional trips may incur chamea to the wsto , he cus,to r have read the d�sGosure above, and fully accepl the tertns provideC therein. F��.,w mxs�...wxw�y c.a��a 1n«��n.r ta.on v«ri�. Customer Signature: ' ' '� `�� r r � Vista Marketing Portable Sheds 3161 Hwy 301 South Zephyrhilis, FL 33540 ,r Ph:813-788-5459 Fax:1-888-485-8082 r SALESMAN: C- t��' L �j�-� C './'� DATE: S � ORDER RE�� P�.e.� ON LOT NEW � tcheck order,ii needing inventory to replace) PAINTED � Traamd or ON LOT USED (check order,d needing invenrory to replace) P'���`� Roof Color SIZE Side Color BARN x Trim Color �f f s;c� LOFTED BARN x � SIDE UTILITY x � ! �/ UTILITY x _!, INVENTORY# :S� ( �� �� /�/�`. ��`�� COTTAGE SHED x GARAGE x OPTION DESCRIPTION COST SIDE-LOFTED BARN i ,� x � 1 CABIN x 2 LOFTED BARN CABIN x 3 ..�-� � � PURCHASER NAME �`�f��� � ,)^ � � �'�j �:� MAILING ADDRESS � � DELI RY DDRE > > HOME PHONE: �I j � � /�� /GG� r WORK PHONE: OTHER: �L �-- , —• 'G,.�7 `-`�-- CASH SA!_E RENT-TO-010lN-SALE 1 SALES PRICE $ � 1 SALES PRICE $�`��C�'� 2 OPTION COST(Describe Above) $ 2 OPTION COST (Describe Above) s 3 TOTAL PRETAX COST(UNE 1+LINE 2� $ 3 TOTAL COST (LINE 7 + LINE 2) $�C�/<--r 4a STATE SALES TAX B°/ 4 DOWNPAYMENT AMOUNT $ --"""' 4b COUNTY SALES TAX % 5 NET DOWNPAYMENT(LINE 4 / LINE 8c► S ! 4c TOTAL SALES TAX%(LINE 4a�LINE 4b) % 8 AMOUNT TO RTO(LINE 3-Line 5) S 3U��'r`"�' 5 TOTAL SALES TAX(LINE 3 X LINE 4c) $ 7 MONTHLY PAYMENT(LINE 6 ! 21.6� S �j � J� 6 TOTA�CoST WITH TAX(LINE 3+LINE 4c) $ 8a STATE SALES TAX g^/, 7 AMOUNT RECEIVED $ 8b COUNTY SALES TAX °/, 8c TOTAL SALES TAX% � ^/a 9 TOTAL SALES TAX(LINE 7 X LINE 8c) S ' c' DRAWING 10 TOTAL PAYMENT(LINE 7+LINE 9) ;f , 11 SECURITY DEPOSI7 ($100 I$150/5200) s � �G 12 TOTAL RECEIVED Method � DOORS FACING �/ ` � ���/� �S �/ . DIRECTIONS Weather King anC its agents are no responsible for permits,setbacks,restnctions,covenants or anchonng, Please contact your local codes department or Homeowners Assodation.It is up to the customer to decide whether ground cond�tions are suitabla for delivery. 'Weather King is not responsible tor yard or driveway damage. Free delivery and leveling includes one t additional trips may incur chames to the custo , he cuslo r,have reatl the disGosure above, and fully acCep(th6 lefms provided thefein vMUeo mu.,r,..ow,.,,,.s.,,,,�a,n.�..n.�a.m w�r�u. Customer Signature:�_J` � .�l..�.��Q T . � . 1 DATE: � p SUBJECT: ANCHORING OF COOK SHED FROM: CARL CASTEN VISTA MARKETING PORTABLE SHEDS I ���� ' ��� r�,�� do here by understand that the shed I am buyirig and placing within the �ity limits of ZEPHYRHILLS, FL. Requires to be Anchored down and tha�I am responsible far the cost of this anchoring. In addition I understand that the pern�it will be pulled by the above stated person for the cost of Thirty-five dollars plus the cy�st of permit. This cost is not included of payment being made to WEATHER KING PORTABLE BUILDINGS. I understand the inspection by the building dept. will be made and thai anchoring requirements and any other requirements are my sole respo ible of cost and labor. �_, � - SIGI�ATURE OF C MER. � . � • _.__. _ .______.___.____ CIT'Y OF .ZEF�iYRHILLS BUILUING .DSPJ►RTHEt�iT OWNER JOB LOCATION PARCEL I .D . ' � SIIOFT ALL S%IS'T'iNG S� -ERUF(TSEIll S'T'RUG"T'UR6S GIVING DINBNSIONS bc SgTBACRS. /� F� �i r--- �F' S�fc� �_ HQ��r�,,- UTII,ITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR— MATION. FRONT PROPER'PY LINE (NOTE EXAMPLES 1 & 2 ) STREET . 1 . SETBACKS FOR R1 , R2 ZONING 2 . SETBACKS FOR R3 ZONING 60 ' 60' 10 � 10 ' _ P E R X ' O I . �� � P S 10 ' 10 ' EXISTING 10' O T 1 0 ' 1 0' S I . E N D G PROPOSED 20� 20 ' SGL FAM 30' DUPLEX FRON'�' PROPE1tTY LiNS FRONT PROPSRTY LINS � �.�.�fl��'ai ��ATE _.��—�i � � ��iT'� C�� �?��'�YRH6LLS��C , �l�l�� --�w�'r����'�I��_...._��__ ���� � _;� � r !� ` - .Zi a w -� P !n a w w - �li �y7 � '� >� � �}� 8�fi ��� ��s� ��s�� �� j ��� �� �� � � � �, c� � �� a ��gf� ��� �� Z��� �o��� �� � ��� � � Jy0 ��.1 °y.� p �V �F � � A ti} ti91�1 �� � lR � �� Y' y V� � ►� ��� �-� 3��� ���� ����d �� -, a�� �` g~ � r �cn n �� � ��� ��� ��� ���� ����� �� � ��� �� �� � a N�o� -� �� � A-,� �� „� ���,�� ���� h,� K �� �R �! �+ � � � G� �-rG� � - � .�i'� �� ��$� ��n ����� � o �_� � � � n d rn � � 4�€ ��� ��, �i��(� ����� �� � o��i � �� � � O O� �"�J � r� � � ��e ��� � ���� ����� �� 3 ��;, � �� � ��i � A N � o� � �� �� � � �� � ��� ��� ��� ��� ;�� � � ��� � °� � N � � � � ��� ��� ��� ���� ����� �� � �s� � �� � �' � � � � a �r ���� �I���� a '� ��� ��{ � P � � F q� �o ���� ��y -.��'��*� � �Q� a � ��� R �� �` d � ,7 _m rn iO $T�n� ��g� o� �� � � ��� � �°� � � i D � > t�N �'� �` AQf��`� _���� � m tis�Ipf � T� [♦ � 5� �"t �t� U t1� � �,aT �' � ��U 1� �, �2� � � _ ��� ��� ���� ����,�. � � ��� � o� � � 8� 1 r � � � �� kf� �:3� � d�rF�G � � ��5� m �j� . � �� �-� �G ��n�� ����� � a y�� ° �" �' � � �� ��� ��� ���� � �N� � � � � � !�� � —� 4 N x �., .a I� � �i � � �� "'�� �ys �n�� ���� � � ��� � �� � Tb� ,� �r �q� ��� ��� ��� � � �� �� n O g � �� ��� �$� ���� �a�� � � � � �� � �� �, � �� o�� ��� g�ia�, ���i� � � �� � �� � /�N � A o �� ��e =��� ���� �� �g � � �$ � &� --y���y� � � �°i,� �-�1 r� 5��� -�j�t � � �� � �� ' � /�N r � �� �a& ��� �� $ ��g� � � .� 5 �� � —(� � � �0 T�� $'A� �"'�� �, m � �� 9 �� �y �,(� � 4 � N` ��� ��G ����" ��"�� v SP,� � �r r Q� � � � �� �� ��� ��� ���� � � � � �d o �' �� ��^ �r.� ��s �� � � >� ��p � � � � � �*� '��` �� ~9� � m �j `� � � �r� � � �� �fi ��� ��� ���� � `� � � 'U�� r � �� M �j!A ��� �� �'r� 8 � � � � Z � � � �� � � � � rn � � � m n a t�n p a D D a > a a S � � � � � � � �i $ � � � � � � � � � � q � 1R1 ° � � � � � � � � $ � � � � o � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � - N ��5� } CONSOLIDAlED INCUSTRIE3.LL� ni�5�w,wwG��raT v�ia $ �� � nNGUa:i�aua5 I�JLEVS SICt�O iN F7JftF�,L-INY.. 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Vd[E.177-5T4-iqp5 ��J 18E-� !ZO/1Z0 d BY8-1 q509 6Z9 0!Z l+ 1119-103a-IYOad VIVZ£�ll BOOZ-BZ-adV , , Pasco,County Parcel: 13-26-21-0140-00000-0560 001 Page 1 of 2 Search Again Sh_o_w_ Ma� Generalized_Buildinq Schematic Frequently Asked _ uestions Estimate_Taxes Other Agency Data: Tax Coilector School_Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, May 16, 2009 Parcel ID 13-26-21-0140-00000-0560 (Card: 001 of 001) Classification O1 - Single Family Mailing Address Property Value ., SCHAEFER MIA L Ag Land $0 39737 MEADOWOOD LOOP Land $23,331 ZEPHYRHILLS, FL 335426779 Building $65,218 Physical Address Extra Features $1,363 39737 MEADOWOOD LP ZEPNYRHILLS, FL 33542 Market Value $89,912 ' Assessed (Save Our Homes) $81,994 Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non-School Additional Homestead Exemption - $25,000 See Plat for this Subdivision �.' -- - --- MEADOWOOD ESTATES Non-School Taxable Value $31,994 PB 15 PG 106 LOT 56 School District Taxable Value $56,994 OR 6146 PG 1556 �M1►arning: 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 � 0100 SFR OOR2 7,700.00 SF $3.03 1.00 $23,331 Additional Land Information Acres 0.18 Tax Area 30ZH FEMA Code �Residential Code ZHLGLPS Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1991 Stories 1.0 Exterior Wall 1 Concrete Block Stucco , Exterior Wall 2 None Roof Structure Gable or Hip itoof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Sheet Vinyl Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 1 0 Line Description Sq. Feet Repl. Cost New 1 BAS 999 $66,633 2 �- FSP 140 $3,268 3 UOP 84 $867 4 FGR 276 $7,337 Extra Features (Card: 001 of 001) Line� Description Year � Units Value -� 1 D W 5 W C 1991 500 $663 2 CON_PTO 1991 100 $158 3 � DCFENC_E 1993 684 $255 �� UDU=M 2006 1 $287 Sales History Previous Owner FOGAL LORIE A Year Month-� Book/Page Type Amount � http://appraiser.pascogov.com/search/parcel.aspx?sec=13&twn=26&rng=21&sbb=0140&b... 5/23/2009 •Pasco �County, Parcel: 13-26-21-0140-00000-0560 001 Page 2 of 2 I 2004 II 12 �I 6146/ 1S5_6 � WD I $95,000 ( 1998 10 4033/ 0935 �C � $0 1994 07 3319/ 0628 WD $56,000 Search Again Show Ma� Generalized_B_uildingSchematic Fre�c uently Asked Ouestions Estimate Taxes Other Agency Data: Tax_Collector School Board Supervisor of Elections http://appraiser.pascogov.com/seai•ch/parcel.aspx?sec=13&twn=26&rng=21&sbb=0140&b... 5/23/2009 i►lllflllilillll�Ilillillllllilf lIIIIIIIIIIIIII!IIIIIIIIIIII - --- -- 20090754$7 --�- --- - � NOTICE OF•COMIVIENCEMENT PRULR 5 U'ME1L FHSCU CLERK & COMPTROLLER 06/01;F�9 gl��� 1 PG°1387 OR BK L� Permit No. / Rcpt• 1245865 Ree: 10.00 Property Identification No. �J� !a� ��-�—���f�'—��'��.0 —��P� DS: 0,p0 I T: 0.00 06/01/09 Dpty Clerk TF�UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the foll�in�:formation is provide�mst�' O CE OF COMIV�NCEMENT. do c� t_ I.Description of properiy(legal description:) �-� �C� (.� �C'� �C�' �� Slp a)Street Address: 2.C�eneral description of improvements:��lf�C i�t.��j ���y� � �", �_/� 3.Owner Information a)Name and address: � l�1 l f� �� 'v�i�� S�� 1`f �'/`Z 3� .7.� � /'�1 E'�,C��L�,���. b)Name and address of fee.simple titleholder if other than owner) Z � 1�rs��j c).Interest in property +'�.0 CLOT IIIfOIIIIISLIOIl ,l � n a)Nameandaddress: Cv�.�SoLr�icL�-�,fi�l� ?r�D �wevtt�p�i�S �G�S� ��v%3���z�/�%rl�ii5 �'b)Telephone No.: �/ � -� 7��—S'�S�% Fax No.(Opt.) �3S�/ S.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: b)Telephone No.: Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section " 713.13(i)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) _ 9.Expiration date of Norice of Commencement(the expiration date is one year from the date of recording_unless a diffei�ent date is specified): � WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFI'ER TH�EXPIRATION.OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IlVIPROPER PAYMENTS UNDER CHAPT'ER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYIIVG TWICE FOR Il1�ROVEMENTS TO YOUR PROPERTY. A NOTICE OF COD'�VIENCEMENT MUST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCII�TG,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMIV�NCING WORK pR RECORDING YOUR NpTICE OF CO NCEMENT. STATE OF FLORIDA COUNTY OF PASCO • �� JUNE C BLEDSOE C MY COMMISSION#DD462628 S���n of Owncr or Ownor's Authoriu OfficedDireetor/Pazh�er/Maneger ��,�p� EXPIRES:Aug.17,2009 �'` ��^- /�l ' C/( ST�/� l�l�e.o�a� Fior�da rroun sw�..cor� Pnnt Name The foregoing ins�ument was acl�owledged before me this��day of �'� �7 ,2Q�,by C,�/�L /�^ C/-���� � (type of authority,e.g.officer,trustee,attorney in fact)for (name of party on behalf of whom instrument was executed). f � llll .II��p rz Personally Known OR Produced Identification Notary Signatute � � `� ' '�� . � .. . , ,. . J� � /f : Type of Identification Produced Name(print) �� IJ� �- `���''e°E'S�(�'{, �t�� ' + . . ...� � `�� . rC _ s ,�`r, ,� ��= Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declai�e that I have read the foregb�a,�aIId tl}at the facts stated in it are true to the best of my laiowledge and belie� ,,,. �:�1 - �.;� . . ` :t • ��. �����,,. � FORMSMOC,rvsdZOW Signaturo ofNatural Pe[son Si�►ing Abwc