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HomeMy WebLinkAbout12-13711 CITY OF ZEPHYRHILLS 5335-6TH STREET 13711 (813)780-0020 BUILDING PERMIT Permit Number: 13711 Address: 3427 MALACHITE DR Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Seation: Square Feet: Subdivision: EMERALD POINTE RV RESORT Est. Value: Parcel Number: 24-26-21-0020-00000-0530 Improv. Cost: 10,000.00 Date Issued: 12/18/2012 Name: BROWN WINSTON & BETTY Total Fees: 247.50 Address: GANANOQUE ON K7G�2V4 CANADA Amount Paid: 247.50 Date Paid: 12/18/2012 Phone: 813-713-8047 Work Desc: 12 X 32 LANAI / SHED HOMEOWNER PLUMBING FEE 60.00 HOMEOWNER -� �j �� �0�`� � � �� ��� ! FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 consbvction 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 sibe 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 twiae 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 Plan ,Specifications Must Ac�ompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. NTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Gi�Gy o1'Gepnyrnu�s rC.11111L H(JNn�,n��v�� • . 8�3-780-002D Building Department P�� �� f�3'��y-`r`3�y r _ �� ��3 _ I�I_ v Date Received -7-j� Phone Coniact for P�mii'i g�� I-rt- /� � 7 ( . - -rHti-rri-t-�-rl-i-�'�"r' � ��� Owner Phone Number Owner's Name ��n . ' 3 y a� ���� �,�- . Owner Phone Number Owner's Address . Owner Pl�one Nurriber ree Simple TiEloholder Name , . ' Fee Simple Titleholder Addr�ss � . � LOT�� S� 3 ya� � /�?c�/��i(�.- �- .. 2-e- /^ . JDl3 ADDRCSS ' • i L _a�_�ao-��- �aS3o 7i(� E��C �OL�Y� . PARCGL!D# ���ow SUDDIVISION • — (OCiTAINE�PROMPROPERTYTAXNOTIC[) DEMOLISH ' ADD/ALT �] S��N 0 MOVE 0 • NCW CONSTR � ���A�� WORK PROPOSCD � INSTALL • • S�R ' �• COMM [� OTHER aT�_�ER pROPOSED USE' � � pLOCIC 0 FRAME � .� STGGL � 'IYPG 01=CONSTftUCTlO[V � . - , ' `a--/1(,L L " � . . , DCSCRIPTION OF WORK . • 2oZ- SQ�OOTAGC ��� hICIGf-1T BUILDING SIZL- �a-x'`� . . • � 13UILDING � /D �iV1 VALUATION Of-TOTAL CONSTRUCTION (�(l � W.R.E.C. AMP SCRVICC 0 PROGRESS CNCRGY �_�. � ELECTRICAL � . • . � pLUMBING �� ��J ( ' I - � VALUATION 01=MECI-IANICAL INSTALLATION • . MCCI-IANICAL $ GAS �] ROOFING �] SPECIALTY � OThIGR ' NO ' 0 1=LOOD ZONC AREA DYCS J� 1=1NISi-IED FLOOR CLCVATIONS . • � `� COMPANY �� � fEC CUftRCNT Y/N 13UILDCR j���v R��ISTCRED Y! N , SIGNATURC . . License� Address 3 ya� rn �- ��- �'�: � ' ' • � � COMPANY �w�'`r Y/N CLGCTRICIAN REGISTERE� Y/ N F[E CURftCN7 SICNATURL License# Address `s�� • ' • � � �O • COMPANY ��� r Y!N PI.UMBER • RCGISTEftED Y/ N fGE CURRENT . � SIGNATURE • License# I Addross S�`"�" . • • COMPANY Y!N • MECI-IANICAL RE�ISTCRe� Y/ N 'r-ee cur�ReNr � 51GNATURE .License# Address � • '. � • COMPANY Y/ N Y/N OTFIER • RCGISTERED f-CC CURRENT SIGNA'PURC . • � License#t __.________ Address , _ _ --- ' � Plot'Plans;(2)sets of Buildinc�P�ans;(1)sel of Gnergy t=orms;R-�-W Permltfor new construction, RC5ID�NTIAL Attach(2) Stormwater I'lans w/Siit Fence installed, Minimum ten(10)woricing days after submittal date. Required onsite,ConsLruction Plans; Sanitary 1=acilities&1 dumps(er;Site Worlc Permit for subdivision�sll 1�9set of 6nergy Forms.R-O-W Permlt for new construction. COMMERCIAL• Attacli(3)complete sets of Building Plans plUs a Life Safety Pag ( ) Minimum Len(1�)woricing days after submittae m�t fo all�new p�jects.All commerc a�requS�men stmuslL meel!coimpliance,nstalle , Sanitary 1=acilities&1 dumpster.Site Worl<P ' S1GN PERM�T Attach(2)sets o1'Engineered Plans.� • ' ****PROPERTY SURVEY required for all NCW construction. -ri-r�-F+-i-i-ri-i-rFr�-��-►-i-�a+�-�-�-�a-�-�-�+i-�a-�-►a+i-rri-ia-�a-�-�-►-►-ri-�-�a-ri-waa-i-i-F�-�-ia-w-i-�-►-ta-►-ia-rH-�-Ma-�a-i-rt-r►-rrta-i.ta-�a-�-ri-rri-�-►-H-ri-w-�-i-rri-i-r�+i-�-�-i-ri-i-ia-�-Fi-ia-rr• .� Direcfions: . • , Fill out application completely. . Owner&Conlractor sic�n bacic of application,notarized rades over:G5000) . If over$2500,a Notice af Cammencement is required. (A!C upg S�me ** Agent(for the co,ntractor)or Power of P;ttorney(�For ihe own�r)would be someone with notarized letter from owner authorizing OVCRTHCCOUNTGRPGRMITTING (Fronto�Application�C) �ences(PIoUSurveylf=ootage) � Reroofs Sewers Sorvice.Upgrad�s • Driveways-NoC over Counter iT on public roadways.:needs ROW NOTICC 01=aCGD RCSTRICTIONS: The.undersigned undersfi�nds that tliis permil m�y I�e subject to "deecl" restriclions" which may be more restricfiive fih�n County regulafiions. The undersigned assumes responsibility�for cumpiiance wiih �ny applic�ble deed resfiricfiions. UNLICGNSCD CONTR�0.CTORS AIVD GON`fRACTOR I�CSPONSIBILITIES: I( Ll�e owner has hired � contractor or contractors to undertake work, they may be required io be (ic�nsed in �ccordance with si�te �nd locai regulaiions. If fihe contracfior is nofi ficens�cl �s required by law, both the owner and conir�clor m�y-bc cited �For � misdemeanor viola(ion under sfiate I�w. If the owner or intended conir�ctor �re uncer(ain as lo wh�fi licensing requiremenfis may apply for fil�e iniended worlc, fii�ey are advisecl to�contacfi fihe I'asco County l3uilding Inspection Division—Licensing SecLion at 727-8�1�7- 8009. Furthermore, iF fihe owner has hired � contracfior or coniractors, he is �dvise.d lo have the contracfior(s) sign por(ions o�f'the "coniractor Rlocic" o�F fihis applicafiion for which they will be res�onsible. If you, �ts the owner sign as the contractor, fihat m�y be an indicaiion th�i he is not properly licensed ancl is nofi enliilecl io permitting privif�g�s in Pasco County. � TRANSf�ORTAT(ON IMPACTIUTILITIES IMI'/aCT AND RCSOURCC RCCOVCRY f-CCS: The undersigned understands fihat Tr�nsportafiian Imp�ct 1=ees and Recourse Recovery Fees may �pply to the construction'of new builciings, change oF use in existing buildings, or expansion of existing buildings, as sncci�fied in P�sco County Ordinance number 89-07 �nd 90-07, as amended. The undcrsigned also underslands, that such �Fees, as may be due, will be idenLified �fi the Lime of permilfiing. It is �Further understood Chal Tr�nsportafiion Impact 1=ees �nd Resource Recovery Fees must be paid prior to receiving a "certificate oF occup�ncy" or�final power rele�se. l�F the projeci cloes nol involve � certiFic�te o� occupancy or �final power rele�se, the fees must be paid prior fio permit issu�nce. 1=urlhermore, if P�sco County Water/Sewer fmpact �fees are due, they must be paid prior to permit issuance in accord�nce wiih �pplic�ble P�sco Couniy ordinances. CONSTRUCTION LICN LAW(Chapter 713, 1=loricla 5t�tutes, as �mended): If valuafiion of worlc is �2,500.00 or more, I certify thafi I, fii�e applicanfi, have been �rovided with � copy of the "Florid� Construc�ion Lien Law—I-lomeowner's Protection Guide" prep�red by fihe Fiorid� De�artmenC of Agriculture and Consumcr Aff�irs. IF tl�e applicant is someone other than fih� "owner", I certify that I h�ve.obfi�ined � copy o�f lhe above described document�ncl promise in good��aith to deliver ifi to ihe "owner"nrior to commencemenl. COIVTRAGTOR'SIOWNE�'S AF[=1DAV1T: I certiFy th�t�II fihe informafiion in this applicafiion is accurate �nd ihat all worlc will be done in compliance wifih �fl applic�ble I�ws regul�fiing construclion, zoning and land de�elopmenl. Application is hereby made to oblain � permit fio do worlc ancl insfi�llafiion as indic�tecl. I eer[ify Lhat no woric or insfiallation h�s commencec( prior to issu�nce of � permifi �nd ll��fi �fl worlc wifl b� performed to meet standards of all laws regulafiing construcfiion, County �ncl City codes, zoning regulafiions, �nd fand devefopmenfi regulations in the jurisdiciion. I aiso certify fihat I understand fih�t the regul�tions oF other governmenfi �gencies m�y apply to lhe iniendecl woric, anci fih�t il is my r�sponsibility to idenfiify wh�fi�ctions I musl t�lce fio be in compli�nce. Such agencies include but�re not limited to: - DeparCmenfi o� Environmenfial Profiection-Cypress (3�yheads, WeLl�nd Areas and Cnvironmenially Sensitive Lands, W�ierNVastew�ter Treatment. - Southwesi Florida Vllaier M�n�gement Dis{rict-Wells, Cypress l3�yhe�cls, Wekl�nd Are�s, Altering Wafiercourses. - Army Corps oF Cngineers-Seawalls, Dacfcs, Navigable W�ferways. - Deparlmenfi o� I-lealth & Reh�bilifiafiive Services/Environmenlal I-le�lfih Unit-Wells, Wasfiew�ter Treaiment, Septic T�nlcs. - US Enuironmenfial Protection Agency-Asbesios abatement. - Feder�l Aviation Aufihority-I�unw�ys. I understand tli�i lhe following restricfiions apply Lo ihe use o�f�(ill:� - Use o�Ffill is nofi�Ilowed in Flood Zone "V"unless expressly permifiied. - If the �Fill maieri�l is fio be used in Flood ,Zone "A", it is undersfiood lha[ � drainage plan addressing � "compensafiing vofume" will be submitted at fiime of permifi[ing whicf� is prep�red by a professional engineer licensed by fihe Stafie o�f Florid�. - If the �fill m�terial is to be-used in Flood Zone "A" in conneciion wifih � permilfiecl buiiding using siem wall construcfiion, l certiFy lhafi'fill will be used only to�Fifl fihe area wifihin fihe siem wall. - (( �Fill material is fio be usecl in �ny are�, 1 cerfiFy that use of such •Fill will i�ot adversely afifect adj�cent ' properties. If.use o(�Fill is �founcl lo adversefy ��ffecfi adj�ceni properLies, fihe owner m�y be ciled �for violating the conditions o�f ihe building permifi issued under fihe aifiached permit application, �for lots less than one ('i) acre which are elevafied by�fill, �n engineered drain�ge plan is required. fF I am the AGGNT FOR TI-IC OWNC[�, I promise in good�f�ith to inform the owner o�f the permiifiing conditions set�(orfh in fhis aFfida�il prior fio commencing construction. I und�rst�nd th�fi � sep�r�te permit may ue required for electrical worlc, plumhing, signs, wefls, pools, air conditioning, g�s, or other install�tions nofi s�ecifically included in the application. A permit issued sh�ll be consfirued to be � ficense to proceed with the worlc�nd nol as �uthoriiy fio.violate, cancel, alier, or sel aside �ny provisions of the i:echnical cocfes, nor shall issuance of a permil prevenfi the 13uilding OFPici�l�from ihereafter requiring a correction of errors in plans, consfirucfiion or viol�tions of�ny codes. Every permifi issued shall becom� inv�lid unless the worlc authorized by such permit is commencecl within six months oF nermi� issu�nce, or if work authorizeci by ihe permifi is suspended or abandoned�For� period o�f six(G) months affier the time the worlc is commenced. An extension may Ue requested, in wrifiing, 'From the Building'OFficial for � period not fio exceed ninefy (90) days �ncl will demonstrate justifiable cause�for�he extension. lf worlc ce�ses�For ninety (90) consecuiive d�ys, fihe job is considered abandoned. WARNING TO OWNER: YOUR.I=AILURC TO IiCCOPD ,�l NOTICC DI= COMM��tCEMCNT MAl°' [�CSULT 1N�YOUR I�AYING TWICC FOR IMPI�O MCNTS TO YOUR PROI'CRTY. 11=YO[J INTCND TO TA1N i=1NANCING, CONSULT WITH YOUR LCNDGR OR ATTORNCY QCI=ORC RCCORQING YO(:JR NOTIC- MM�NCCMCNT. PLORIDA JURAT(f-:S.11 _ OWNGR OR AGGNT CaNTRACTOR " /�ubscrib d and sworn to(or af irmed)bef re me i ' S bscribed d sworn to or rmed) oro me h�s -7—�0[_ by ,����cJ c�e� ��v�v�I ��Y Ci�.tr�n �row� Who is/ar�, ersonally Imown to me or haslhave produced Who is/ar �rsonally 1<rM�i�.�ts mEror�jas/hau�prad�t ced // �Or^'zF i - �s�d'�7��A�n• � as ldenliflc�{�c�rtr'.� ' ' , ,!"'Zti 1� :,E��, '�;:� .x�" �._. �'�i:926].64 .. �;.,� :��;•' . ' i5,2013 ` - , „ No(ary Public �:. Notary Public Commission No. Commission No. ` , Name of Notary lyped,printed or stamped Name of Notary typed,prinled or sfamped n=scLOSU� sTA� Fox o� . . CIT3C OF Z$PfrvQSrrr.r.a BIIILDING DBPART�N'P I, �//1J�0/� ,�/�,G(,� have read aad fully naderstand aad agree to the provisions of this instr�eat. ' The uadersigaed states aad affirms tha,t he or she is desirons of canstructing, reaovatiag, addiag to or seroofiag his or her rnva damicile, that he or ahe actually occupies, or will occupy by sa3d domiciie, aad same is not for reat, lease or sale. That he or ahe shall co�ply �vith the followi.ag condi.tioas: I. That the owner and he or she al.one shall act as the bai.lder for a13 phases of coastruction._ 2_ That the ownes v�ill comply �ith all pravisions of the City of Zephyrhills ordiaaaces and codes pertiaeat to the I�nil�;*+'. 3. That ia the eveat vaxiouts phaseg of c�structioa are subcoatracted, he will eagage oaly prcperly liceased snbcontractors aad mill. personall.y supervise such work. 4. That ia the event the Bu3ldi.ag Inspector shall require corrections to be made, the owaer 9vi11 assume full responsibility to insnre they, are made, aad upon completioa will. call for a reiaspect3oa before proceediag �rith the l�nildiag. 5. That the own.ex� shall assume full respoasibility for the constructioa aad will aot expect supervision of his work from the City of Zephyzhills Bni2di.ag Departmeat. 6. That prior to final inspeatioa any additional fees, iacludiag reinspection feea, must be pa3.d ia full. A �ritten reqnest from this office shall aonstitute an official aotice to pay add:itianal fees. 7. That the oo�aer shall comply with all City, State aad Federal lao�s i.a regard to social security, worI�aa's compeasatioa, 3.iea lavrs, etc., �here applicable. 8. That the owner shall comply ovith all the sa€ety cades issued by the Florida Industrial Commissioa_ 9. 3tate Zaw rez+,�res constructioa to be doae by liaeased coatractors. You have applied for a permit uader an exemption, to that law. The e�cemptioa allows you, as the owner of your property, to act as yonr own caatsactor wi.th certaia restsictions evea thongh you do aot have a iicense. You must provide direct oasite supervisioa of the coastruction yourself. You may build or 3mprove a one-fam:i.ly or two-fam:i.ly reside�ce or a farm outbuildiag. You may also buiZd or improve a com�aercial buildiag, provi.ded your costs do aot exceed $25,0�0. The buildiag or resideace must be for yovr owa use or occupaacy. It aiay nat be bu3.lt or substantially improved for sale or lease. If you sell. or lease a .building you have built or substantially improved yourseZf within 1 year after the coastructioa is complete, the law �vill pres�e that you built os snbstaatially improved i£ for sale or lease, which is a violation of this exem�s�ion. Yon may aot hire an unliceased persoa to aat as yonr contractar or to supervise people working on your building_ It is your respoasibility to make sure that people employed by you have licenses s�+,�red by state lava and by cauaty or mnaicipal liceas3.ag ordinancea. You may aot delegate the responsibility for sv�ervisiag work to a licen.sed con.tractor who is aot licens�d to perfarm the ocork beiag done. Aay pesson working oa your bui.ld.iag who ie aat licensed must Frork uader your direct supervision and must be employed by you, which means that yon must deduct F.I.C_A_ and. ovif.hholdiag tax and provide morkers' coaapeasa 'oa far that employee, all as prescri.bed Isy lam. Your constructioa. must comp 9ri.th al.l applicable laavs, ordinaaces, bna.Idi.a.g codes, aad zoaing regula ' O�PNSR.'S SIGNAT[7RR D�TS /�` 7� �D/2. ADDRBSS � e2 7 /- - Z , PH014& wrr�.vass ��.�� /���2�J�S p�T # w City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractar/Homeowner: //1 � ��`�'�� Date Received: �1 � 7�� Site: 3y�7 /��/��C�l�XE' ✓V Permit Type: G-�'�v �cS�� / 2�3� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet be kept with the permit and/or plans. lz��y��� Kalvin witzer lans Examiner Date Contractor and/or Homeowner (Required when comments are present) Pasco County Parcel: 24-26-21-0020-00000-0530 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, December 15, 2012 Parcel ID 24-26-21-0020-00000-0530 (Card: 001 of 001) Classification 00 - Vacant Residential Mailing Address Property Value BROWN WINSTON L&BETTY M Ag Land $0 133 THOUSAND ISLAND PKWY Land $38,127 GANANOQUE ON K7G 2V4 Building $0 CANADA Physical Addre55 Extra Features $2,261 3427 MALACHITE DR lust Value ;40,388 ZEPHYRHILLS FL 33540-7421 Assessed (Non-School Amendment 1) $33,178 Leqal Description (First 4 Lines) See Plat for this Subdivision Non-School Taxable Value #33,178 THE EMERALD POINTE RV RESORT �hool Distrid Taxable Value ;40,388 PHASE ONE Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. PB 34 PGS 87-90 LOT 53 Land Detail (Card: 001 of 001) Line Use Description 2oning Units Type Price Condition Value � 0200 MSUBM OOC2 2,500.00 SF $15.23 1.00 $38,075 � 0200 MSUBM OOC2 122.00 SF $0.43 1.00 $52 Additional Land Information Acres 0.06 Tax Area 30ZH FEMA Code X Residential Code EMPTCPI Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWC—� 1998 1,024 $1,254 2 CON PTO 1998 140 $242 3 U D U-M 2002 1 $765 Sales History Previous Owner ZEBLISKY LIVING TRUST THE Month/Year Book/Page Type C de Condition Amount 06/2012 8723 / 1350 Warranty pi Vacant $30,000 Deed 10/2008 7957 / 1927 Warranty � Vacant $0 Deed 01/1998 3873 / 1870 Warranty Vacant $16,000 Deed http://appraiser.pascogov.com/search/parcel.aspx?sec=24&twn=26&rng=21&sbb=0020&... 12/17/2012 LOT IMPROVEMENT PERMIT # �a • a� 3 EMERALD PpINTE BOARD QF DIRECTC�RS � � � 1 , , , � ; � � � , - ., -, APPROVED�: ;� 1��'��'���_;;�,�',�,�_� �.�_----� DATE: � t :�.�,���- �� PROPERTY EVALU TION COMMITTEE • . DATE:� ��� �• �'� APPROVED. EXPIRATION DATE: " � INSPECTION: FINAL INSPECTION: cv_�`.US_ �o� _ �rdu�,� ---- -- , - - 5 3 __ ���� i���'�C�.�if� i� ,�� �Jz - r��=�-�i�._a��-� - - ,(�v..y l d �a�v� ___���� t-��-- _G-a.�_f�/ JP�,F _ � r,t_ �'r�t,'..5��l .SS�� . -- �� � ��r�— -°�' �'k�--� �= F�-f. r.-,� -'- I �"�` �- �'�'-- *``f� 4 - -- ±41�e�'�-: - — --- _. . - -- - ._ _ - - -�- � _ --- - - �lfG� ��' �/z - - - - :i I�ti.._ t U'�.� - - - - - - - r,� -- -- �`- - -- -�._...r�����'� -- - - - - - - - '�� 1 �� � � �1�'- --�_� --- -� �- - ; - ,.� C�c�Q�--� -' �� %�.�.. �'�� ' - - - r � �'i - i/ -�2-G�-�'�" -- '` - -- - �� :?�� _ �c::ul 2, .� — , - -� � N��� _ _s _ � �-�- y _ _ ��► _ _ __. � �= - . . � -� � 3 . 1 _ _ �� _ _ _ /�f1r� i�, 2o�z r , �/► ��n�13"�a y� ������������������������������������������������������������ g'J �� 2012213464 Pem►itNo. ParcellDNo `?� �°� ��- ad�o-�� QS,3v , NaTICE OF COMMENCEMENT State of F����"� County of / �� THE UNDERSIGNED hereby gives notice that improvement vuill be made to certain r 1 property,a�d in accordance with Chapter 713,Florida Statutes, the following infoRnation is provided in this Notice of Commen en: 7`� /J / ,p� L 1. Descripdon of Property: Parcel Identification No. �d� �3 ����✓ �!/t X� "'� �A/�� ��/� �Q cJ�� Street Address: 3 y�7 ��l�'�� �- Z � •`�y� � �� 9 2. General Desc 7'ption of Improvement s�[o �ye s� 3. Owner Information or Lessee infortnation if the Lessee contracted for the improvement: Gvi�`cS'�or� ,�rbl�/1 3 ya7 ���clu.s� ,D�. � l,�r �/ ��a Address City State Interest in PropeRy: Name of Fee Simple Titleholder• , (if different from Owner listed above) Addreae DGIJ/�P/' � �/l 7'�QC�0/� �y�7 1`''lQ�dl�t� �� State a. contractor. Name �/�1/�.��/ ��D rt//tJ 1:`�r����GGJ �'4 � Address Q �7 City State Contractors Telephone No.: V l J " �� �� ���� ,3�d 5. Surery: 3Lf'�� /��i,�C��'I� 4 J/ ��(/� Name Address City State Amount of Bond: S Telephone No.: 6. Lender: Name Address City State Lender's Telephone No.: 7. Persona within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by SecUon 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienors Notice as provided in SecUon 713.13(1)(b),Florida Statutes. Telephone Number ot Person or Entity Designated by Owner: 9. E�iration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one year f�om the date of recording unless a different date is specified): WARNING 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 T1MCE FOR IMPROVEMENTS 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 WITH YOUR LENDER aR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YO R NOTICE OF COMMENCEMENT. Under penalty of peryury,I deGare that I have read the foregoing notice of commencement a t the facts stated therein are true to the best af my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO NOTrLRY PL'?l'�^^'^�T^�•.�,��A "�"°' • ;�a��j Signature of Owner or Lessee,or Owner's or Lessee's Authorized ::�: g {�:'-`�� � -' ''''JD92b164 �cedDirectorlPartne/Manager '-.`�'�� � ` 16,2013 /�j� �/� . ��i. Vl/!�J /� �U/� BONDEDI'Hi.� �..,.r, "bJiJLtiGCO.,INQ Signatory's TitlelOfBce The foregoing instrument was acknowledged before me this 7�day of� . ,20��by (/V�/�c15G�\ ���� as O�i��' (type of authority,e.g.,officer,trustee,attomey in fact)for f�°/ (name of n behalf of inst ment was executed). Personally Known�Q�Produced Iderdification� Notary Signature , Type of Identification Produced �G Name(Print) C/�° GV' Repl:1482435 Rec: 10.00 D5: 0.00 IT: 0.00 12/14/12 E. Munguia, DptY Clerk ppULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROL�ER wpdata/bcs/noticecommencement�c053048 i20R BK ���� P�of 1�01 STATE OF FLORIDA,COUNTY OF PASCO r� � THIS IS TO CERTIFY THAT THE FOREGOING IS A CG TRUE AND CORRECT COPY OF THE DOCUMENT � ,��► ON FILE OR OF PUBLIC REGORD IN THIS OFFICE �'� . WITN MY HAND D OFFICIAL SEAL THIS � • � DAY OF 2 G�� * . IxG«��"0 j,P• � * P LA S. ' IL, LERK&COMPTROLLER � ' � ' � * gy DEPU7Y CLERK � * . 18S: P . . � '�'ATE Of� �3 y�� /1"�'�,�C`��T7--�-- �'2��� I ' - ----- I � —___________. 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