HomeMy WebLinkAbout13-14004 CITY OF ZEPHYRHILLS ��'
5335-8TH STREET
- � �sis��so-oo20 14004
FENCE PERMIT
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Permit Number: 14004 Address: 37553 LAUREL HAMMOCK DR
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work: FENCE/NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: OAK RUN
Est. Value: Parcel Number: 34-25-21-0100-00000-0260
Improv. Cost: 5,880.43 " P ,,, �� ,�."`
Date Issued: 3/27/2013 Name: � BRUNATO, PATRICK& DEBRA
Total Fees: 50.00 Address: 37553 LAUREL HAMMOCK DR
Amount Paid: 50.00 ZEPHYRHILLS, FL. 33541
Date Paid: 3/27/2013 Phone: (813)782-7993
Work Desc: INSTALL 240 X6' VINYL FENCE
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LOWE'S HOME CENTERS IN (407)832-8085 FENCE 50.00
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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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
C N CTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 34-25-21-0100-00000-0260 001 Page 1 of 2
Data Current as Of: Weekly Archive - Saturday, March 16, 2013
Parcel ID 34-25-21-0100-00000-0260 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
BRUNATO DEBRA & PATRICK Ag Land $o
37553 LAUREL HAMMOCK DR Land �za,5os
ZEPHYRHILLS FL 33541-4254 Building �59,80�
Physical Address Extra Features �822
37553 LAUREL HAMMOCK DR
ZEPHYRHILLS FL 33541-4254 ]ust Value �95,137
ASS2SSed (Save Our Homes) $95,137
Leqal Description (First 4 �ines) Homestead 196.031 - $25,000
See Plat for this Subdivision Non-School Additional Homestead - �25,000
OAK RUN SUBDIVISION PHASE Exemption
1 Non-School Taxable Value $45,137
PB 37 PGS 128-129 School District Taxable Value ;�o,is�
LOT 26 Warning: A significant taxable value increase may occur when
OR 5929 PG 456 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 0110 SFR RURAL OOR2 8,000.00 SF $3.00 1.00 $24,000
2 0110 SFR RURAL OOR2 1,753.00 SF $0.29 1.00 $508
Additional Land Information
Acres 0.22 Tax Area 30ZH FEMA �Residential Code OKRNLPI
Code
Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 2004 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 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
1 � BAS 1,344 $67,267
2 FSP —,� 168 $2,953
3 FGR 460 $9,209
4 FOP 28 $350
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 � DWSWC 2004 430 $822 �
Sales History
Previous Owner RYMAN CONSTRUCTION INC
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http://appraiser.pascogov.com/search/parcel.aspx?sec=34&twn=25&rng=21&sbb=0100&b... 3/20/2013
o�r►ou-vu�� vny �i �.cNi iyi�nn� � ������.,,rr��.,W.�.,��
Building Department
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Date Raceived , Phone Contact for Permittin �S l�3 Z�g - `►R 6�
Owne�'s Name �i�F1�rt.►c, 2 A"�O Owner Phone Number gi 3 ��7 8'7. -�`1�l 3
Owners Address ��7 S�3 �-fl K/L�.1-- H AMM O��C Owner Phone Number
Fee Slmple Titleholdsr Name � Owner Phons Numbsr
Fee Simple Tftleholder Address
JOB A�IDRESS 7`��S � GL �H/►'�M O • �C f�Q LOT# ���
SUB4IVISIDN ��k- 2'^� PARCEL iD# 3�'`�`J-21'�1 O D - O(�Oc�E� - C� 2 �+ C�
(OBTAINED FROM PROPERTY TAX NOTI6E�
WORK>PROAO$ED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
B INSTALL e F7EPAIR
PROROSED UsE Q SFR Q COMM Q OTHER
TYPE OF CON8TRUCTaON Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK .=�tS7A-I/ 'Z.`I 0� �-� � � -f^e-�JC W rl" / - t/ � t.�l�/k 3�?"e.
BUILDINO 81ZE SQ FOOTA(3E� HEI�3HT
OBUILDINC3 S � �gQ, U� VALUATION OF TOTAL CONSTRUCTION
7
C]ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLLlMBINO $
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION
Q(3AS Q ROOFIN(3 Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO
G ��a 1'�.r'Z''
BUILDER ` MPANY C ow-CS NoMt, Ce���2s �n!C-
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address o C3a�c $ �3 ��'A���' �i-S78' Llcense# �('oG I 50 ��17
ELECTRICUIN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Ucense# � �
PLUMBER COMPANY
810NA?URE REOISTERED Y/ N FEE CURRE� Y/N
Addross License#
MECHANICAL COMPANY
SIONATURE REGI3TERED Y/ N FEE CURRE� Y/N
Addreas License# � �
OTH�R COMPANY
SICiNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Plot Plans;(2)seta of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon,
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence instailed,
Sanitary Fadfltles&1 dumpster;Slte Woric Permit for subdivislons/large projects
COMMERCIAL Attach(3)completd seis of 6uilding Plans plus a Life Safety Page;(1)set of Ene►gy Forms.R-O-W Permit for nsw construcUon.
Minimum ten(10)working days after submittal date. Required onsite,ConstrueL'��+Pla�s,9!ormwater Pla�s w/Silt Fence installed,
Sanitary Fadlitles�1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compllance
SIf3N PERMIT Attach(2)sets of Engineered Plans.
"""•PROPERTY SURVEY requlred for ali NEW canstrucdon.
Directlons:
Fill out appBcaUon completely.
Owner&Contractor sign back of appiication,notarizad
H over t2500,a Notice ot Commencement is roqulred. (AJC upgrades over:7500)
"• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI7TIN(i (Front of Applicatlon Only)
Reroofs N shingles Sewers SeMce Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTION8: The undersigned understands that this permit may be subject to"deed"restrictions"
which:rnay be more restrictive than County regulations. The undersig�ed assumes responaibility for com�lianee with any
appti�able deed restrictions.
UNLI.�d3�D CONTI�A�TORS AND C�W�'R�►CTOR RESPONSIBILITIES: if the owner has hired a cqntr�ctor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulat(ons. If the
conE€actor is nvt licensed as required by law, both the owner and contractor may be cited for a misdemeanor viotation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, tl�ey are advised to contact the Pasca County Buiidfng Inspection Division—Licensing Se�tlon at 727-847-
800.9. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of thatYma trbetanBndicaton that he�ifs niot p operly 1lcensediland is not enttled t permftting�privfi g si9n Pasco
contracto , Y
County.
TRd1�1SpCiRTATION IM�ACTIUTILITIES IMPACT AN�RE�OURCE P�tECOVERY FEES: The undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, chan e of
use in existing buiidings, or expansion of exiating build'mgs, as specffied in Pasco County Ordinance n�d at the �,e�of
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identifie
permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid pr`i�r'to
receiving a"certi�cate of oceupancy" or final power release. if the project does not invoive a certfficate of occupancy or
final power release, the fees must be paid prior to permit-issuance. Furthermore, if Pasco County Water/Sewer Impgct
fees�ce due,.they must be paid prior to permit issuance in accordance with appiicable Pasco County ordinarfces.
COFI$TRUCTION LIEN LI�W(Chapter 713, Florlda Statutes, aa arrrended): If valuatfon of work is $2,500.00 or more, I
cert[fy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Lav�►—Mor.raeow�er's
Protection �uide" prepared by the Florida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner°, i ee�tify that I have obtained a copy of the above described document and promfse in good fait��to
deliver it to the°owne�"prior to commencement.
CONTRACTOR'SIOWNER'8 AFFIDAVIT: I ce�tify that all the information in this application is accurate and that alE work
will be done in comptiance 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 installatfon has
commenced prior to issuance of a permit and that all wvrk 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 inte�ided work, and thaf�It is
my responsibflity to identffy what actions I must take to be in compUance. Such ageneles include but are not limited to:
Department of Environmental Protection-Cypress &ayheads, Wetland Areas and Environmentally 3ensitive
Lands,WaterNVastewater Treatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engtneers-Seawalls, Docks, Navigable Waterways.
- Depa�tment of Health 8 Rehabilltative Services/Environmentai Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
Federal Auiation Authority-Runways.
I understand that the following restrictions apply to the use of flll:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
if the flll materiai is to be used in Flood Zone "A", it is unders#ood that a drainage plan addressing a
"compensating volume" will be submitted at tira�e of permitting which is prepared by a professional engineer
licensed by the Sta#e of Florida.
If the fill materiai is to be used in Fiood Zone "A" in connectfon with a permitted buiiding using stem wall
constr�ction, I certify thaf fill will be used only to flll the area within the stem wall.
- If fill materiai is to be used in any area, I certify that use of such ��{hei�owner mayrbeicit d for vi�o at�ng
pFOperties. If use of flll is found to adversely affec!adJacent propertfes,
the �onditfons of the building pe ent i��ee�ed d ainage p an ise equireat application, for lots less than one (1)
acre which are elevated by flll, an g
If I am the A(�ENT F`flR THE OWNoR�tructi nig I iunderstand that a�epa�rat permit tmay be req 9 d fortlelectrical work,
this affidavlt prior to commencing as, or other installations not specifically included in the appiication: A
plumbing, signs, we11s, poots, air conditioni�g, g
permit issued shall be constr�ed to be �codesenor shall i sua`ncehof a pe mftpr vent thehBu dirig tOfficial from ther�eafter
set aside any provisions of the technica �
requiring a correction of errors in plans,r�it is�cotmmen eidlwkhfn sixamonthseof perm t p s ainces o�if woirk authorized by
unl�ss the work authorized by such pe
the permit is suspefided or abfrom the BuildingiOffi iali fo6a period nottohextceedtnine yr(90) da.ys and will demon traEe
may be requested, in writing,
th job is considered abandone .
justifiabte cause for the extension. If work ceases for ninety(90)consecutive days, �
Wpl�NIWG TO OMINER: YOUR FAILURE TO R�E PRbPER'TY.TIF Y�U IIV�E�T� OBTIktNMFfNANC�I��IONS LT
PAYING TWICE FOR IMRROVEMENTS TO YO��� ���0��'�G Y��� N071�E�F�0������r•
WITH YY�@!tlJ�' �"n�o e+�e� sN ATT(3f�NEY��F
FLOR![5A.lURAT(�.�.117.03)
CONTRACTOR
OWNER OR AQENT Subscribed and swom to(or aifirmed)before me thts
Subscribed and swom to(or aiflm►ed)before me this by
bY Who s/are personally knovm to rne or has/Fiave prodrueed
Who is/are personaily known to me or haslhave produced as Identlflcatlon.
as identlflcatlon.
Notary Publtc
Notary Pubiic
Commissfon No.
Commission No.
Name of Notary tYped,printed or stamped
Name of Notary h�Ped�Printed or stamped
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Contract 7otal � �� �'I �'
� `a:q�.ticable taxes included �
NOTiCE T:Q.,C.IJ$�'QMEI� ,Federal,faw raquire§Lowe'S to• pra�ida:cypu�vkh the pamphl�et•Renovate Wght Hy slgning this Contract, Customer
acknowlQdees•hevNtq-F�col�ed a copy.ot th1�pamphlet betox.@-wo�Jc bs9pn ir�fo.rmi�g.CUatomor of the p�atentis!'risk of the lead hdrdM exp,osure
from renovatlbn�ctivity to.ba•parFormed inCuetqiner's dwellipg•unit. ' .
PHOTO f2ELEASE:C.ustomer grants to Lowe'a and l-owA's employe.es thg�ji�F�t to take photographs oi ali work��Orrn�cf at the Premises rclated to this
Contract,and irrevacably grants to Lvwe's a11 'right,.�id,�e and,irit�rsst in and'tp the.phc�tdgr�phc for•use tn all mark�ts and media,worldwide,�n prrp6luily
Customer authoriae& Low's's tb copyriglit, use and publish,;ths phbto¢rsphs in pnnt andlor oloctronically, and agrees that Lowe's may��s.e nu�:N
photographs for any, lawf��l purpose, inGluding,but n4t•limi�,ed to,rYiarkstir�; advertising; puDllclty, illustration, t�aining and Web content. By iniHalin3
here,Cubtomcr agrees to the(oregoing. . '[C�stomer�4 i�itic+i tc►l,h'o'Icft].
Work i,s�to comLnenc4 �pon reasorable�vailability of Cpntractpr and(pr�ami speCial'4r er c rtter ma e Go�d(s��whic.h is int�Cip�ted 4o be
1N 1 �(� 3C� �Q.►.�.1_—�. . �rfille'in d�a.Estlrriatcd cbritplef�o.n date is�y.i�.,�h.�,�y,,rJr��.3 .Jfiff.in dafe].
S�i�l sstimated'subsianfigl, ,rt�pletion dats•its not o'f the essence- A stateme�t•o{gny Coiitl.rlg�JiciBS.�,would.mat�ri�l�y cr1��r►'ge said ssdmatod substantkal
compl�;tion'date is as fqilows:.:. . .. • • • . . �'�;.,,�. ... . . .. � • ' ' •- -
. _--- _ ...._ ... .. �-��.�PPrda6le,�insert.a�st�tmen4.ofsur.Fico�ingen�ies).
This Contract provfdes that alt,�la�lrws'by C�stq►t�e�'or C�we'�.will be raa�slved by BINDII�GARBLTRATIOW:C�tstaner and Lowe's G1VE UP THE RIGHT
r0 GO TO C,.OUR'1'ta�nfotce'this°Cohb`act.�EXC�'f�.inatl�r9't�at.may ba•lakon to'SMAL'•LCI:AINI$CAYIRT�.Cowa's and Customer's rights wi11 be
d,etarmlrtd¢�+�� NE AFt6. � �:�i►,�R';1!!t�'T•�.a,�.ti da;:3NQ(,�,7;,ou!a!s,and. C stdi�er. srg 'eritkled�ta a FAIR HFJ�RtNG. But the arbit�ation
f �� • � � � nforcoab as,an court orde�flnd
procedurosrtir+e�$IMP'�X?1�;lYl it '"�. .. C��E�� • �P ..,X.....,...
ar�subject��W VERY L'IMIYEI��'R � '� ��Y'A C�'`'F�t 'RE DETAILS:RevievY, � .aactlon titled XRgll'R471 13'AGREEMENT,WAIVER�F J 1�RY�
TRIAL AND WAIVER OF CLASS ACTION ADJUDICAT!('i1�k,found in tha Torms and Conditions of thi's Contract.
DO NOT SIGN TH1S CONTRAGT:,UNTiL'GCMPLE��E AND�Y.OU HkVE'REAOE THE TERMS AND CONDtT10NS CONTAIN�D 4N ALL
PAG�S OF THI3.�QN7RACT.•.BY SK'aMNQ:QEL•b1AG•YOU•AREACKNOWLEDGING YNAT YOU HAVE�REAQ,.i1N,.D�1Z$�ANd
i4ND A6.Fi�T�1 TI�E 7'ERM8 AND CQNDtTJONB SET'Ft�R�1 Ql?I i�1-L�P.J�C�3F.S,UF,TH��CONTRi4t4T•='.YOU ARE��NTITLED TO A
COPY OF.•�HIS CUNTI�.A�T AT TFiE T�ME•�OF'S1Cy�1A'Tt�R��,� `�, `. �` - ' �'� . , .
WITNESS OUR'kAND(�)AND SEAL(S)B�I:OW�MIS �'� "' 'DA1f.OF,, ��,�, ; ,L+�,i.__ , ����
L.owe's Home Centers, Inc. . �
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Custoenar ae ovdedgos�ipt o �t •twpy ot tlds eor►tract which x�'s ieoihpJtltlty'Allad la•�NNior lo.�ustoman's•axoeu4ion horeof.You,�buyer,roa�
cancal thls transaeEton a!aay time p�ior!a mldniyiht:of tho third bu5iness day.�after the date of ttus:tran'sactio�.Sea tha attach�d Aotice of eaneellation
form for an explanation of thls right. . �
Rd 20M�ry�nws�'a.o0 i.rnvr.'.orw tnc qode dnsk7n
#907�4 (Rev.12110) 8fA f@�15tM9Cr�r,xir.m�rkx of l r CUiN0f9UOR.
, FILE COPY
�uiiii��oi i�iii�ii�i i�i�i�iiii i�i�i i�i��iiiii iiiii iiii iii�
20130�442
Rcpl:1507771 Rec: 10.00
DS: 0.00 IT: 0.00
�i3TICE OF C��VdM]ENL����'�� 03/27/13 B. McBes, Dpty C 1 erk
PRULA 5 0'NEIL,Ph D Pp5C0 CLERK i COMPTROLLER
-�="-No� 03/27/13 1:06 1 of 1
�,�;i olio No. OR BK ���� PG 3081
�- 3�+ -Z�-�l -o � aD -400 �0 - ��:.6v
-_��:VDER3iCN�D hareby gives notice that the ir�prove�e��will be made to raal properiy,and in accordance with Secrion 713.13 of
::V_�:?da StatL.tes,the fotlowing informaticn is prcvid�d in this NOTICE OF COIvIMENCEMENT.
�'asc:iption ofproperty{legsl description}:�/�k, �urJ S�� PkA�.I P .R. �� P5 s �i8 - �1q 4vT2.6 orL s'qz.9
_� Street(job)Ad'dress: :3 7 S 5 3 (,,q u 2 e C. NA M M O C K. G'�!L_�ePtiiCY/�,�l s F c 3 3 s'y ! P� y y(,
��seneral description of improvements: F�..��e
��mer InformariQn /" S y �
a)Name and address: ��}tR.+�/L �2 u A1�'TO + � 7 S S��L.4 G R C C HA/�M D c � c.✓2 Z��,c�y l.,�l i r L 3 3
�) Name and address of fee simple titleholder(if other than owner)_- ' _
c)Interest in property Owner _
�ontractor Information
, e and address: Lowes Home Cente;s.inc.,�=. G.Aoox 7SI 3 Or ndo.FL 3�878
ephone No:_l�D 7-SS'32-���_Fax No:__��`l1�_ _
ety Information �
a)Name and address• NA _ � _
b)Amount of Bond• NA _ .__� _ _
c)Telephone No•_,NA _ _
Lerder
a)Name and address: N� _ _______��— — ------ —
b)Telephone No: NA Fax No: 1�tA
identity of person within the State of Florida designated�y owne:�apon�vnom no*.ices or other c3acuments may be served
a)Name and address NA � `u_
7�Telephone No: NA Fax No. NA �_
_:acidition to himself,r�wner designates the following persan to recaiv�a copy c�f the Lienor's Notice as provided in Section 71�.13(1)(b},
C?':�2 JF3h1t8S;
=,.; �axxne and address: 1�1A
�;Telephone No. NA _Fax No. NA __
4xpiration dAte of Notice of Conamencement(the expiration dr�te is oa¢yEar fxom th�date of�recording unless a different d�t�is
'il�ea�:
;:�NIIVG TO OWNER:ANY PAYMTNTS MADE BY TIIL OWNER.4F'�'ER THE EXPIRATION•OF THI3 NOTIC�OF
��'IMLNCEMENT ARE CONSIDERJED IMPROPER PAYMENTS G''.VZ1ER CAA.PT�R 713,PA�iT 1,SECTION 713.13.RLORIDA
'�.'�UTES CAN RESULT IN Y�DUIt FAYING TWICE FOR[A�'RCZF'E:4iE:Y'I'S fi0�kOUR PROPERTY.A NOTICL OF CON�14tENC�MENT
U�T�E R�CORDED ANb POSTED ON TSE.TOBSI'10E BF�Ol�THE FIIiST WSPECTION.I�YOU INTEND'TO OBTAIN'FINANCING,
)t�T5�1LT YOUR LENDER OR AN A7"TOI2NFrY BEF(D32L COiVIlbiEI!'�;�iG'�`JVCiRK OR RECORDING YOUR NOTICE OF
;P�dl>i'�ENCE1ViEN'T. , •
_te ci Floricia �T���
MY�OW�RS610N I�7Q1�6. c (y�
unty Of � . _��
�d� '1 j��, Signs�,�e 'OwierorOwner' tharirrdOfl3ca/DireUOdPactnedMaang�
�-�a� �� ���t C� �
nr:�]i t'�`^12'.i,
:foregoing instiwnent�ras aclmowledged befo;e me�his�,UJ'day of_���f 20�,by_
_ _(type of authority,e.g.offioer,u±�sYe;,,etton��y in faet)
_ (name of pa��ty on brhal�of wh�ri, ent was ecut
_� N� ��,�.� �-
>�nailyKnown �RProdncedIdentifctdion +a_ i s?uw,�_�//��. �
�:`i�.ntii�ce•":o:st�roduced��.� I�ar.te(Print}_���'��,� �t• (i(,��
W��`_
;:�cat;na pursuant to Seciion 92.525,Florida Statutes.Under per:slties of p ' ,y,�e�are thaz! reari the forcgoing and that the facMS atated tn it ary 4tuo to:the best of
:,�•a�iedge an3 belief.
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:���:#! , `L �
i�a*�at�af va�urrll'e*son Signing(in tine 10)Above
�V . : .�'`�C
STATE OF FLORIDA, COUNTY OF PASCO ,�Z' • G��
THIS IS TO CERTIFY THAT THE FQREGOING IS A •
TRUE AND CORRECT COPY QF TME DOCUMENT % ' ', ,�c
ON FILE OR OF PUBLtC RECaRD IN THIS OFFICE
WITNESS MY HAND ANU OFFI IAL S�AL THIS '� � 'n���e%`i • �
��DAY OF�(^��_.___2lO(' � . �!►" '*
PAUL S O' EIL, CLERK& OMPTROLLER �
� t857
BY �DEPUTYCLERK s'tq���,v�'-P