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Home My WebLink About12-13151 CITY OF ZEPHYRHILLS � . 5335-8TH STREET ' (si3)�so-oo20 13151 BUILDING PERMIT Permit Number: 13151 Address: 39724 MEADOWOOD LP 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: MOORES FIRST ADDITION Est. Value: Parcel Number: 13-26-21-0140-00000-0160 Improv. Cost: 3,256.00 Date Issued: 6/08/2012 Name: VERGARA, ALDO & HERRERA, VIGINIA Total Fees: 55.00 Address: 39724 MEADOWOOD LP Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/08/2012 Phone: (813)410-2349 Work Desc: RE-ROOF WITH SHINGLES 55. � � / � \ TAPE JOIN�RQQ F IN P FINAL NJ'( J°'(� 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 f) plans not at job site g)work not accessibie. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your 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 City Codes and Ordinances. NO OCCUPANCY BEFO C.O. J/��`�[�,t�.-c` � CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 , Building Department Date Received ��— �,j� phone Contact for Permittin _ > Owner's Name �-�t M 1/`Q, ''�C� j �r�(; ,G� cut� ✓��{--- • Owner Phone Number ,3� � U � Owner's Address �--� i�"'1 M� 'Gu� Owner Phone Number � J Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS ' �� "��C�%��-( �, � � LOT# C� SUBDIVISION PARCEL ID# L' S �(,p J2 02 �,�� , �� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN [� Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � '��(�D /'� - BUILDING SIZE SQ FOOTAGE HEIGHT �� BUILDING _ $ ,h C ` .� f""�_ , VAl:I�'ATION OF TOTAL CONSTRUCTION QELECTRICAI $ V ^ H AMP�ERVICE Q PROGRESS ENER�'°"`��1N:i�.E.C. � QPLUMBING $ � � / " � 1 QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO� BUILDER COMPANY ( � {,� SIGNATURE �' .,�, "—'�� REGISTERED ' Y/ N FEE CURRE� Y/N Addreas License# C ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# C MECHANICAL COMPANY SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address License# � —� OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP Y/N Address License# C � 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)wo�icing days aRer submittal date. Required onsite,Construotion Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles 8 1 dumpster;Site Work Permit for 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 constructfon. Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&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 constructlon. Directions: Fifl out application completely. Owner&Contractor sign back of applicadon,notarized If over 52500,a Notice of Commencement(s required. (A/C upgrades over=7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles 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" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended cont�actor 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 invvive 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 Depa�tme�t 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'SlOWNER'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 Envi�onmental 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 Heatth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone�V"unless expressly permitted. If the fill material is to be used in Flood Zone "A�, it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this 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 requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shatl 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-PiOTICE OF COMMENCEMENT. FLORIOA JURAT(F.S. 117.03) � ' � �r� � CONTRACTOR_ � �� yVN�I�-OR AGENT � �- �- SuSscribed and sworn {or a rmed)befor e Subscrlbed and swo (or afflrm�d)before me this by � bY �onall known to me or haslhave pro uced Who Is/are personally known to me or has/have produced �� J as identlficatlon. as idendfication. z-� 1��L—:� /�- " �l - - --�� , i '� ,� ' % � ' ` t�,r'�x Notary Public �_�8� � � J�.� �� --�-T-- Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped �asco County Parcel: 13-26-21-0140-00000-0160 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, ]une 02, 2012 Parcel ID 13-26-21-0140-00000-0160 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value BEAR STERNS SECURITIES 1 LLC Ag Land �p LASALLE BANK NATIONAL TRUSTEE ��d $7,816 C/O EMC MORTGAGE CORP Building $44,223 2780 LAKE VISTA DR LEWISVILLE TX 75067-3884 Extra Features $1,469 Physical Address �ust value $53,508 39724 MEADOWOOD LP Assessed (Non-School Amendment 1) $53 508 ZEPHYRHILLS FL 33542-6778 � Leaal DesCriDtiOn (First 4 Lines) Taxable Value ;53,508 See Plat for this Subdivision,�`" MEADOWOOD ESTATES PB 15 PG 106 LOT 16 OR 8389 PG 1814 Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value � 0100 SFR OOR2 7,700.00 SF $1.45 0.70 $7,816 Additional Land Information Acres 0.18 A ea 30ZH Code �Residential Code ZHLGLPS Commercial Code SBUNKIO Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1982 Stories 1.0 Exterior Wall i Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Drywall Interior Wall 2 None Flooring i Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 Line Description � Sq. Feet �� Repl.Cost New � 1 ��- BAS 1,476 $62,509 � 2 FSP 100 $1,482 3 FST 72 �- $1,525 Extra Features (Card: 001 of 001) Line Description Year Units � Value � 1 � 1982 350 � $394 2 DCFENCE r- 1988 360 $134 3 1l DU_M 1999 1 $403 4 DCFENCE 2007 360 $538 Sales History Previous Owner MORENO DANIEL JR Year Month Book/Page Type Amount 2010 08 ��-8389/ 1814 ��--r�� $0 J 2003 � 07 5557/ 0376 WD � $57,500� 2003 O1 5201 /0029 �� $0 L=J http://www.appraiser.pascogov.com/search/parcel.aspx?sec=13&twn=26&rng=21&sbb=01... 6/8/2012 P_�azed by nd r.��rn tn; � Scott A.Marcus,Esq. Attorney at Law Becker&Polia�oif,P.A. ` 31ll Stirlin�Road �� Fort Laudesdale,FL 333Y2 954-987-7550 � File Numb�: 3?A944 ' ; Parcel Identificaiion No.; 13-26-21-0190-OOQ00.01b0 - f 5pace Above This Lme For Reoording Data] Special Warranty Deed THLS SPECIAL �VARRA�ITTY DEED made tl�s "J� day bf 2012 by U.S. Bank Nat[onal Association, as Tragtee, sacoessur 1n lntereat to Bank of Amorica, Natianal atlon as auccessor by marger to LaSaIle Bank Nstioaal Association, as Trastee for Certiifcateholders of ar Stearn9 Asset Backed Securitfes I LLC, Asset-Backed C�cates, Series 2007-AE7 wgo acqnired tltle as LaSalk Bagk National Associaffoa* as 1'rustee for Ccrtiflcateholders of Bear Stearns Aaset Back� Secnr€�ies I LLC, Aaset-Backed Certlflicat�s,Series Z007-HE7,end having its p]aco of busraess ai c/o EMC MorEgage Corporation,2780 i�ake Vista Dr., Levr�vllle,TX 75067, heitinafter calkd the "GranDor",to Atdo M. Vergara and Virldiana M.HerrerA, huslmnd and wife whoso post offce address is 8106 C.all Blvd.,ZephyrhIIla,IiL 33541,harci�£ter cailod tho"Grnateo��; i wI79VES5ETH,that Grantor, for and in consideration of the sum of TEN A1�ID N0/100 DOI,I,ARS ($1p,pQ) . and other valuable considezations,raceipt q,}�ere�f i� ��,��owkdged,by th�e presents does grant,bargain, sell unto � Grantce,all that certain laad sihiate,lying and beiag in pasco Couaty,Florida,to-wit: See Euhibi#A attached hereto and made a part hereof ; TUGETHER with alI the tenements, hcreditamen#s and appurteaaaces theteto belcmging or in anywiso ' $Pp��B. SUBJECT to the matters seE fort}� on Exhibit B attachad hcreto and msde a part �e�reof{collectively, the � "Permitted F.Ycento Q"),provided tbis shall not serve to reirnpc>se any of the same. � GXtANTQR WILL WAI�,AN1'a.nd forever dofend thc right and title to the abavo-dcscribed reai property unto the Grantee against the claims of all persons,claiming bY,through or under Grantor,snbject so the Permitted Exceptions. (T�hesever used herein ihe term,s "Grantor"mrd "Grarrtee"included all the par�ies ro rhis instrument, mrd the heirrs, legal representatives anil assigns of ir�dividuals,tr�uj the succecsors and assignr of carporation.) 4 F - IN'WITNESS�VHEREUF,tha Grautor has signed on @ic day and year first above written. Signed,sealed�►d @elivered in the presence o� i U.S,Bank N$tlonai Association,as'['�vstee,succesaor in 3nterest to Bank o#AineMca,l�Fational Association sa snecessar by merger to Ls3aIle Bank NatLonal Aasociation,as Trustee for Certtficateholders of Bear Stearas Asse#Backed Secnrities I LI.C,Asset-Baeked Cerfificata4,Serile�?A07-HE7 By: JPMorgan Chsse Bank,Nadonal Associati,on,as Wimess Nazne: !/�.��.s��,�QL(� Atto -in-F t � f.Q� �''' - � �. ' ez Witness Name: .6�s+c�.s�„�►-��•.��,ri, Vice P�id�C"•,,, �" � ti�•+` �E ��'��.,, - Vice President a`'�� G L►A6""`•.W�'�''-. S �ri�'y: •a �Y: Y � :°�,"� 1$�IP�E � � State of %, o CONRp'� �.`� Couaty of '',��'�ii�t�iutt�*��,````` fore ' g ' vvas aalviowledged bsfore me this �j___t_ ciay of 2012 hy . as Vice President of JPMorgaa Chase Bank, Na on Assoc,iatlon, as t rst - - act for .S.Banlc a onal Association,as Trustee, saccessor m interest ta Bank of erica,Natio�al . Association as saccessor by merger to Lx3alle Bank l�ational Assoclatlon, as Trastee for Certificateholders of Bear Steasns t Backed tSecurities i LLC, Aaset Bac�ed Certificatee, Series 2007-HE7, on behaZ£of the co�poration Ii �s pw'sonaUy known to me or[3,Q l�s_�..�,,;,;;:°�-.�dritrer'41+�,�,aP aa;� _-, -'�, - ENotary Seal] � No 'c : Prirned Name: �� r y�p�r-...�— _ � ��,,,,� My Commission Expires: �r�_ T1fFANY SKAEFE My CommEsslon Ezpires 3une 25.20i2 "+�a�*s t t EXHIBIT A s - , ; LEGAL llESCR�'I`ION � S Lot 16, of MEADUWOOD ESTATES, accorcling to the PI$t thereaf, as recorded in Plat Boak 15, Page 106,of the Pablic Recards of Pasco County,Flarida. i a i t � ' �XHIBIT B PERMITTED�NCITMBRANCES 1, The lien of taxes aad ass�ssments for thc cturent year and subsequent years; 2. Matters that would be shown by an accurate survey and inspection of the propert5; 3. All covenants, restrictions, condi#ions, eas+ements, reserva#ians, rights-of-way, and oifier matters of record,to the extent valid,su�sisting and enforceable; - 4. Zoning requirements, statutes, ruIes, orders, resirictions, regulations and ordinaaees of govemmental agencies �r their iz�strumentalities relating to the property, the buildings Iocated thereon,their construction and uses,in force on the date hereof(if any such exzst}; and 5. Any licenses,permits, authorizations ar similar items (if any} in conne�ion with the conduct of any activity upon the�mperty. j t 1 � � DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS— BUILDING DEPARTMENT I, ��_� y ('�(C�t2d- � (-t��'/t/�� have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the buitder for afl phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the buifding. 3. That in the event various phases of construction are subcontracted, he will engage onty properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this o�ce shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc.,where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people emplo�red by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perForm the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. OWNER'S SIGNATURE �'� 1/i�r�. r DATE�� - ADDRESS PHONE WITNESS ... � � � �'`�I PERMIT v ��J '�� vNtasrerfoims�own«sa.ffiaavivrrovo7 PASCO COUNTY BUILDING PERMITS DATE: 06/08/12 NAME AND ADDRESS FOR PROPERTY ID: 13 26 21 0140 00000 0160 PARCEL IS LOCATED IN CITY ZH SC TP RG SUBD BLOCK L�T NAME 1: BEAR STERNS SECURITIES 1 LLC NAME 2: LASALLE BANK NATIONAL TR�TSTEE ST LNl: C/O EMC MORTGAGE CORP ST LN2: 2780 LAKE VISTR DR CITY: LEWISVILLE STATE: TX ZIP: 75067-3884 TIFZN: 3 -------------LEGAL DESCRIPTION FOR PROPERTY-------------____________________ MEADOWOOD ESTATES PB 15 PG 106 LOT 16 OR 8389 PG 1814 IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 2012097099 NOTICE OF COMMENCEMENT Permit No. Property Identification No. �3- 0'16-a�_ p I yo• 0 0 00p - 0160 TT�LTNDERSIGNED 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 the NOTICE OF COMMENCEMENT. 1. Description of prope le al d ripti : a) Street Address: O t I 2. General description of improvements 3. Owner Information � � b) Name and address: . � ,��r r�J'�p� � ) Name and address of fee simple titleholder(if oth r than owner) c) Interest in property 4. Contractor Informarion ' 1- Rcpt:1440568 Ree: 10.00 a) Name and address: 'C�V�/Q�y o� DS: 0.00 I T: 0.00 b) TelephoneNo.: FaxNo.(Opt.) 06/08/12 C. Cook, Dpt,y Clerk 5. Surety Information a) Name and address: b� Amount of Bond: Au�a s o'NEIL,Ph p pqSCO CLERK 8, COMPTROLLER c) Telephone No.: Fax No.(Opt.)06�08�12 11:28am 1 of 6. Lender OR BK ��BI� P� �� a) Naune and address: �� 7. Ide�tity of person wittiin the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and addness: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owntr designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(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 different date is specified): �'VARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS 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 YOU NOTICE OF COMMENCEMENT. STATE OF FLOR[DA 1�'"`��. COUNTY OF PASCO ;� °�''"^`x . , �"'°"''.'' ��"�r°� � �. r�' � Y�',��N Signature OF Owner or Owner's Authorized Officer/Director/partnedManaget ., R t,_ � '' " � � V�R1DiHNA .":� �, � MAR�A H ERR.EaA G1'v�ac z jP•.�' . ^ � .-*�„e�ti� Pnnt Name The foregoing instrument was acknowledged before me this 8 day of SvNE 20 b �_ awNCa �, y— (type of authority,e.g:officer,tn�stee,attorney in fact)for (name of party on behalf of whom insM�ment was executed). Personally Known_OR Produced Identification ✓ Notary Signature S� a Type of Identification Produced D.�. Name(print) ,P/17)t�Ciil � , Qy�,�p�d Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I ha read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. ^__t. � �/� oC�.�.. �1 FORMS/NOC.rvsd2007 �1 +�` S�gnanae of Natucal Person Sigmng Above STATF �� REC�►, COUNTY OF� PASCO THIS IS Tv��RTIFV�(�Al�THE FORE=GOING IS A TRUE AND CQRRECI�COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RFCORD IN THIS OFFICE WiTNE MY HAND t�D OFFICIAL SEA�L THIS OAY OF � (%� Z PAU F�S O'NEIL, ERK& COMF'TROLLER gY �u,,,�� l� DEPUTY CLERK