HomeMy WebLinkAbout12-13653 CITY OF ZEPHYRHILLS
5335-8TH STREET
• �sispso-oo20 �3653
BUILDING PERMIT
Permit Number: 13653 Address: 6125 11TH 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: TYSON
Est. Value: Parcel Number: 02-26-21-0080-00200-0200
Improv. Cost: 5,970.00
Date Issued: 11/30/2012 Name: MCCULLOUGH DONNA
Total Fees: 65.00 Address: 308 PERCIVAL RD APT 405
Amount Paid: 65.00 COLUMBIA SC 29206
Date Paid: 11/30/2012 Phone: 352-567-5143
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROOF INSP
FINAL �-(, - (�-
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site t) plans not at job site g)wo�ic 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 recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
� ONTRACT R SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ais-�eo-oozo City of Zephyrhilis Permit Application Fax-813-780-0021
, Bwiding Department
Date Received Phone Contact for Permitting -
Owners Name 1.� Owner Phone Number z--���� '1�
Owners Address (�'ZS � ' Z i ( Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number�—�
Fee Simple Titleholder Address I
JOB ADDRESS ��ZS i 1 L" ST12EE� . ZE i'HY�i�5,� F� LOT# �
SUBDIVISION 1 I W N PARCEL ID# O Z�°ZI�00�^��^OZq,�
(08TAINED FROM PROPERTY TAX NOTICE)
WJRK PROPOSED � NEW CONSTR B ADDlALT � SIGN � MOVE � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR � COMM � OTHER
TYPE OFCONSTRUCTION � BLOCK � FRAME � STEEL � OTHER
DESCRIPTION OF WORK I��—�� S I�V�G �,�I�LY 1�GS I��j
BUILDING SIZE �—� SQ FOOTAGE .HEIGHT
�w -
� BUILDING $� �^ � —� �/ALUATION OF TOTAL CONSTRUCTION
�
O ELEC,TRICAL S I AMP SERVICE A � PROGRESS ENERGY � W R E C
� PLUMBING � � / ��(J��
�
� MECHANICAL � � VALUATION OF MECHANICAL INSTALLATION
� GAS �� ROOFING � SPECIALTY � OTHER
FiNISHED FLOO FLOOD ZONE AREA �YES �NO
r��:.�..��` �:��1;�#� ,�,,
BUILDER COMPANY � ��K�� C��STI�U��O�
SIGNATUR REGISTERED Y/ N FEE CURRENT Y 1 N
Address r 0• ��� �/�'«+G' (—� F L License# l.�`LV T Z[y10�0
ELECTRICIAN COMPANY �—
oI��NATURE REGISTERED Y/ N FEE CURRENT Y i N
Address � L�cense t! � —�
PLUMBER COMPANY
SIGNATURE REGSTERED Y/ N FEE CURRENT Y I N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTcR=O Y/ N FEF cuRRENr Y i N
�—
Address I License#
OTHER COMPANY
SIGNATURE REGISTEP,ED Y/ N FEE CUFREN7 Y/N
Address License# �—�
_ �mnm��swr�cz_ �wz�—�m
T,�....,.��
RESIDENTIAL Attach(2)Plot P�ans:(2)sets of B�viding Plans,(1)set of Energy Forms.R-O-W Permd for new construction,
Minimum ten(10)working days after submittal date. Required onsite.Construction Plans,Stormwater Plans w/Silt Ferce installed.
Sanitary Faahties&1 dumos,er Site'NOrk Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Bwlding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnd for new constructwn.
Minimum ten(10)working days after submittal date. Required onsite,Construct�on Plans,Stormwater Plans w/Silt Fence installed,
Sandary Facih}�es&1 dumpster Sde Work Pertnit for all new pro�ects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineeretl Plans
""'PROPERTY SURVEY reqwred for all NEW construction.
Directions: �
Fill out application completely
Owner&Contractor sign back of application.notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
" Agent(for Ihe contractor)or Power of Attomey(for the owner)would be someone with notanzed letter from owner authonzing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs 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 o�
contractors to undertake work,they may be required to be licensed in accordance with state and Iocai 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 tiwll 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 co�struction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended) If valuation of work is$2,500.00 or more. I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done in compliance with ali 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, ar�d 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 compiiance. Such agencies inciude 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-We!Is. Cypress Bayheads, Wetland Areas, Altering
Watercourses
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Envirenmental 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 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 pian addressing a
"compensating volume"wifl be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida
- If the fill materiaf is to be used in Flood Zone "A" in connection with a permitted buiiding using stem wall
construction,I certify that fill will be used onty to fill the area within the stem wall.
- If fill matenal 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 app�ication, for lots less than one (1)
acre which are elevated by fill,an engineered drainage pian 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, poois, 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 Buiiding 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 t`�e 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 T MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF INTEND T OB IN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDI YOUR OF OMMENCEMENT.
FLORIDA JUR,4T(F.S.71 �03) �/�
�/ r
OWNER OR AGENT Y � CON
Subscnbed and lo(or affirmed)beforce m th`s�I- $'l.� Subscnbed and swm to(or a �rtned) !ore me th�s �f-d g...�,�,
� �� bY �
Who islare personally known to me or haslhave produced Who isfare personalty known to me or hasLhave pro�d
_as i entification. as identficatwn.
��u � �3e3ro6fary Pubhc `""�"�70�--' Notary Public
Commission No.��`"Z tp� Ip�� Cammissio o. (�
1��.1� � J��`�CSI.— c�..�
Nam of Notary ryped,printed or stamped Name of N ary ,printed or stamped
6ARdIe1V►A.I►LL180N BARBARA A.ALLISON
��Y P�� Notary Pubifc
StMe of FlorWa St�e of Fbrida
My Comm. Exp. Mar.28, 2014 My Comm. Exp. IM�,,�g,2014
Comm.#DD 967656 Comm.*'pD g$'7g�g
Bob �La rki n construction, �nc.
P. 0. Box 1474 � Dade City, FI. 335Z6-1474 � f352)567-5143 � Fax 567-2716
CONTRAC�
Contractor License No. CB CO 36549
Roofing License No. CC CO 42866
CLIENT: Donna McCullough DATE: November 28, 2012
ADDRESS: 308 Percival Road, Apt. 405 CONTRACT#: 2012-063
CITY/STATE: Co/umbia, SC 29206-5071 JOB NAME: McCullough
PHONE: 803-238-0619 LOCATION: 6125 11�' St., Z'hills FL 33542 :
We hereby propose to provide the materia/s and perform the /abo� necessary for the comp/etion of.-
See Attachment 'A"
1. Bob Larkin Construction to provide General Liability and Worker's Compensation Insurance.
2. Contract to include all material, labor, clean-up, and waste disposal.
3. Two Year Workmanship Warranty Included.
The above work will be for the sum of:_ 5 970.00
A// mate�ia/ to be as specified. A// work to be comp/eted in a workman/ike manner according to
standard practices. A// agreements contingent upon strikes, accidents, or de/ays beyond our contro%
Owner(s) to carry fire, tornado and other necessary insurance.
PAYMENT to be made as follows:
Bob Larkin Construction, Inc. requires deposit at signing af contract of
$ 2, 985. 00. The balance to be paid upon completion. A monthly 1.5� will
be charged to any unpaid balance after terms, then every 30 days
thereafter.
Authorized Signature: Date:
(General Contractor)
This Proposa/ may be withdrawn by us if not accepted within Thirty (30J days.
^� ACCEPTANCE OF PROPOSAL^�
The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are
authorized to do the work as s�ecified. Payment will be made as outlined above.
Signature: Date:
Donna McCullough
� BOB LARKIN CONSTRUCTION, INC.
11/28l2012
ATTACHMENT"A"
DONNA MCCULLOUGH
308 PERCIVAL ROAD,APT.405
COLUMBIA,SC 29206-5071
CELL 803-23&0619
escrowsetcincCa�msn.com
JOB LOCATION:6125 11TH ST.,ZEPHYRHILLS,FL 33542
SCOPE OF WORK FOR RE-ROOFING SINGLE FAMILY HOME:
1. REMOVE ROOF SHINGLES&UNDERLAYMENT TO EXPOSE ROOF SHEATHING
2. NAIL-OFF ROOF SHEATHING TO CODE WITH 8D RING SHANK NAILS
3. INSTALL 30#FELT PAPER ROOF UNDERLAYMENT ON ENTIRE ROOF
4. INSTALL GALV.METAL IN VALLEYS
5. INSTALL NEW PAINTED ALUM EAVES DRIP
6. INSTALL NEW LEAD PLUMBING STACK BOOTS
7 INSTALL GAF ROYAL SOVEREIGN 25 YEAR ROOF SHINGLES ON SLOPED HOUSE AREAS
8. INSTALL MULEHIDE SELF ADHERING BASESHEET&CAPSHEET ON LOW-SLOPE ROOF OF REAR PORCH
9. INSTALL 50'OF ALUM RIDGE VENTS
10 WOOD SHEATHING REPLACEMENT ON COST PLUS BASIS OVER(2)SHEETS
11.WASTE DISPOSAL&CLEAN-UP INCLUDED
12. RE-ROOFING PERMIT&NOTICE OF COMMENCEMENT INCLUDED
TOTAL COST-$5,970.00
DEPOSIT&DRAW SCHEDULE
DEPOSIT AT TIME OF CONTRACT SIGNING $2,985.00
FINAL DRAW AT COMPLETION OF PROJECT $2,885.00
TOTAL CONTRACT PRICE $5,970.00
DONNA MCCULLOUGH(OWNER) DATE
BOB LARKIN(BUILDER) DATE
Page 1
Pascu Caunty Parcel: 02-26-21-0080-00200-0200 001 http://appraiser.pascogov com/search/parcel.aspx°sec=02&twn=?6&. .
— ---- -- - ----- -....---
; Data Current as Of: � Weekly Archive - Saturdav, November 24, 2012
Parcel ID 02-26-21-0080-00200-0200 (Card: 001 of 001)
! Classification ! 01 - Single Family
;_....................----------...---..............._......._.._----...__.._........._..............------------____...---------......._._._.._._._._......_._._.........__._..__.._..............._...__........_........._....______._._.......__._........._..._...... .._.._ ;
Mailing Address C Property Value
MCCULLOUGH DONNA D Ag Land $0
j 308 PERCIVAL RD APT 405 Land $15,120
� COLUMBIA SC 29206-5071 Building $29,776
Physical Address Extra Features $911
' 6125 11TH ST
ZEPHYRHILLS FL 33542-3528 I ]ust Value $45,807
� Legal Description (First 4 Lines) Assessed (Save Our Homes) $45,807
' See Plat for this Subdivisi� n Homestead 196.G31 - $25,000 '
TYSON SUBDIVISION Non-School Additional Homestead Exemption - $0
PB 4 PG 109 Taxable Value $20,807 '
i LOT 20 BLOCK 2 Warning: A significant taxable value increase may occur when s4ki.
� OR 8660 PG 3404 �I Click here far details and info. regarding the posting of exemptions.
:.................._. ._....................... ...................._....................._.
_..._...__.._......_...._........._..._....................._......................................................... ..................................._.._._.__...___._._...______....__.._...._................._..
Land Detail (Card: 001 of 001)
Line Use Description ; Zoning Units ; Type �Price Conditan � Value
1 0100 ^ SFR � OOR3 r 9,450.00 ' SF
___ _ _ �_._.. _...--
� $160 100 � $15,120
Additional Land Information
�_._...._._...._.. .._...._...._._._....._...._._.____...________..._.._..."_"'.'.'.'.—________--. _._..�� �_.._�._...._.�._��_'v_—�__�._ ..__..
Acres 0.22 Tax Area 30ZH i FEMA Code ; X � Residential Code � TYSBLPI
:_...__-------------- ---______ ------ ----- ------.... __._.......
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1959 Stories 1 0
;Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
'Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
;Interior Wall 1 Drywall Interior Wall 2 None
�Fboring 1 Asphalt Tile Fboring 2 None
Fuel Electric Heat Forced Air- Ducted
;A/C Central Baths 1.0
_................. ............. .._........._....._......... _..._...___.......................................______....._............__..........._.....__..__.... .._____.. ._....... __......__._..__ - . ....:
_....._...._......
Line Description � Sq. Feet I Repl. Cost New
^ 1 BAS 816 $36,802
2 UOP � 30 � $226
, 3 FGR 264 i $4,781
4 FST � 84 r $1,894
5 FOP 40 i $451
,.._..._..._. .-.-------...----._...__..._..._.__.._..____.__.�..._.__._...._._...._._.—__�____.._.__.__...__-----.---____---------__....---...._....-------------.----_.__.__.
_...._..._
6 FEP 200 j $6,314
_................
------ -------------------.-.._-------------------------------._..__....._._...._.._-------------------___..
Extra Features (Card: 001 of 001)
_ _.. _.._.. . _.. _.. ._.._._. _. _ _.
Line Descriptan � Year Units j Value
1 � DWC '� 1975 460 $397
2 UDU-M � 1985 - � - - 2 � $119
3 CLFENCE � 1997 � 1,120 � $395
Sales History
Previous Owner HARTZELL ROBERT A II &
Month/Year ! Book/Page I Type � �ode Condition i Amount
-� _.. .. __.
- ------ �....------ ---____--,-
02/2012 i 8660 / 3404 � WD edtY � 12 Improved ! $0
08/2007 �I 7730 /Q42� �/�/arranty Improved , $0
Deed ; �;
08/2007 ,I 759.1�1483 --------�Warranty '� I Improved �-----$82,000 _
Deed
I of 1 1 I '28/2012 10:08 AM
Pasc��.County Property Appraiser- Legal Description for• 02-26-21- http•/iappraiser pascogov com/search/legaLasp�°parce1=212602008
Weic�rne : Recarcls_Sea.rch P�rcel D�ta.il.s • Legal Descnption
Legal Description
02-26-21-0080-00200-0200
Assessed in Section 02 , Township 26 South, Range 21 East
of Pasco County, Florida
TYSON SUBDIVISION PB 4 PG 109 LOT 20 BLOCK 2 OR 8660 PG 3404
Please be advised that our lega/ descriptions are for assessment purposes
on/y, and are not intended for use in /egal conveyances.
Pasco County Property Appraiser
Page Layout Modified: 2/17/2009 11:49:04 AM
The Local Time Is. 11/28/2012 10 08:21 AM
1 ofi 1 I I '?8/2012 10:08 AM
PascaCounty Properry Appraiser- Map http:;/maps.pascogov com/maps/print.asp�im� mapdata/433110830
Pasco County, Florida
Section 02� Township 26, Range 21, 0.9 miles N of Zephyrhills
Prepared by the Office of Mike Welis, Pasco County Property Appraiser
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P�scc.County Property Appraiser- Map http• /maps pasco`�ov comimaps,�pnnt.asp''imb-mapdata/d3211084�
------ — -- ------- �
Pasco County, Florida
, Section 02, Township 26, Range 21, 0.9 miles N of Zephyrhills
Prepared by the Office of Mike Wells, Pasco County Property Appraiser.
Map Created on 11/28/2012 at 10•08•46 AM
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i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii
r 2012203329
Pertnit No. Parcel ID No 02-Z.(o-Z.1-OO��-�'�-U'Z,vp
NOTICE OF COMMENCEMENT
State of ��1Z�1� �} County of 1�fk S C�
THE UNDERSIGNED hereby gives notice that(mprovemerrt wlll be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provfded in this Notice of Commencement:
1. Description of Property: Narcel IdentificaUon No._p2-Z(o ZI -a0�U-OpZOip-�Z�p
Street Address: �i ZS 11� ST2F�T Z�1�1{�1�.�1 I.L.S � 3 ��I Z SZ�
2. Ganeral Descriptfon of Improvement �F-Q�� S t F�4M�Ly Q�S�DE1�1C.E
3. Owner IMortnation or Lessee infortnation if the Lessee contracted for the improvement:
�{eC�LL-DUCG 1� . �O 1�}.{f� 1�
3°� ��rzc�"�a� cZD s4�r �tos ` cow rt �,� s,e, zq zo�-s�o��
Address City State
Interest in Property: �c�1J�2.
Name of Fee Simple Titleholder:
(If different from Owner Ifsted above)
Address City State
4. Contractor. �$ C.A21L�w1 C01�1ST2UCT�0�.1
p.o. �"k i y�
Address y ��� C�. F� 3�SZ..(�-I 4?�,_,
Ciry State
Contractor's Telephone No.: 3 5Z S�e7-S t�-[
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender.
Name
Rcpt:1478749 Rec: 10.00
Address �� DS: 0.00 IT: 0.00
Lander's Telephone No.: 11/30/12 E. Mungu i a, Dpty C 1 erk
7. Persons within the State of Flo�ida designated by the owner upon whom notices or other documeMs may be seived as provided by
Sedion 713.13(1)(a)(�,Florida Statutes:
Name
PRULR 5 0'NEIL,Ph D PRSCO CLERK 8 COMPTROLLER
11/30/12 09:29am 1 of 1
Address City OR BK �7�� PG 5�2
Telephone Number of Designated Person:
8. In additlon to himself,the owner designates of
to recefve a copy of the Lfenor's Notice as prov(ded in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Exp(ration date of Notice of Commencement(the exp(radon date may not be before the completion of construction and flnal payment to the
contractor,but will be one year irom the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE IXPIRATION 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 T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDEO AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing noUce of commencement and that the facts stated there(n are true to the best
of my knowledge and belief.
STATE OF FLORIDA � ��/�/� '� I I �
COUNTY OF PASCO / ` �
Signature of Owner or Lessee,or Owner's or Lessee's Authorized
Officer irector/PartneNManager
�����1
Signatory's Tltle/OfHce
The foregoing instrumerrt was acknowledged be re me this c�0 day of ��,20�,by,�
El� . Ct',.((��q
a$- ���p� (type of authority,e.g.,officer,trustee,attortti y i�
(name of p on behalf of whom instrument was executed).
Personally Known Produced IdenUflcatfon❑ Notary Sfgnature ��x�'-�-o.r
Type of Identification Produced Name(Print) � CtT�o�ra �. Q��'S�,
�►��.-�soN
�vir-��
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