HomeMy WebLinkAbout13-14686 CITY OF ZEPHYRHILLS
5335-8TH SIREET
�sis��8o-oozo 4686
� ' BUILDING PERMIT
Permit Number: 14686 Address: 38446 18TH AVE
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0080-00100-0061
Improv. Cost: 5,700.00
Date Issued: 10/31/2013 Name: CHURCHWELL, BETTY
Total Fees: 97.50 Address: P.O. BOX 1358
Amount Paid: 97.50 DADE CITY, FL 33526
Date Paid: 10/31/2013 Phone: (352)467-2364
Work Desc: REROOF METAL OVER SHINGLES
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TAPE JOINTS OF N P
FINAL � �
REINSPECTION FEES: Reinspection fees wiil 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 construcfion 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.
"Warning to owner: Your failure to record 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 Acxompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�-�'���-,/ � �
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
�/•�/��G'%/� 4(/, (...°%�L(/2 C/�'!{/G G L Building Department
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Date Received d l3 33 -- 77�
Phone Contact for Permittin
Owner's Name / � Owner Phone Number - 7�0 �� �`�1d7
Owner's Address , lJ r ,J(' 3J p r / � �j Owner Phone Number �-
Fee Simple Titleholder Name � /� Owner Phone Number �
/
Fee Simple Titieholder Address �
JOB ADDRESS ��� ��� � 1.�� LOT# �
SUBDIVISION �/S�� PARCEL ID# Dp� � ' Q U-'�/� ''�Q(�j/
(OBTAINED FROM PROPERTY 7AX NOT�CE)
WORK PROP03ED NEw CONSTR ADD/ALT 0 SIGN [� Q DEMOLISH
INSTALL � REPAIR
PROPOSED USE � SFR Q COMM Q OTHER �
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK /\'CCD l t'l •�'�`J e ��' (t���� /yl�/!5 C[1/��E��j �Ir�u/�p��•
BUILDING SIZE � 3Q FOOTAGE Cy� HEIGHT ��
OBUILDING $ ��0� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE - 0 PROG �ENERGY Q W.R.E.C.
, �,,.--
QPLUMBING $ � '� �
ziz�''-t��ra��S ' � .
QMECHANICAL $ ALUATION OF MECHANI AL� AL TIO ` `� ��� '
QGAS ,� ROOFING Q SPECIALTY �] OTHER -____._,_.
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# -�
MECHANICAL COMPANY
SIGNATURE STER Y/ N FEE CURRE� Y/N
Address License# �
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OTHER � e O PANY ��) lr /."�.�.� KCc � I.�, C
31GNATURE " EGISTERED Y/ N FEE CURRE� Y/N
Add�ess �y7 �3�r cf� � � r/�j.�/� 3�S G LiCense# ���G'�%3Jo
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Woric Permit for subdivisfonsAarge 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 construction.
Minimum ten(70)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pennit for all new projects.All commercfal requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"'"PROPERTY SURVEY required for all NEW consVuction.
Directlons:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is required. (A/C upgradea over s7500)
`" Agent(for the conUactor)or Power of Attomey(for the•owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITT1NG (Front of Application bnly)
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 complianc�with a�ny
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 Iocal regulations. If the
contractor is not 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, 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 contracto�s, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this appiication 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 Resou�ce 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 vbtained 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 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 Environmental 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-Seawatls, Docks, Navigable Waterways.
- Department of Health 8� Rehabilitative Services/Environmental Health 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 ihe fill material is to be used in Flood Zone "A" in cvnnection 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 a�y 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 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 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 LENDE OR AN ATTORNEY BEFORE RECORDING YOUR NOTI OF C T•
FLORIDA JURAT(F.S. 3) �
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(�W(NER�vR AGE CONTRACTOR .•
and sw to affi )befor e is Sub b and s r afli b thl
by • -� j � "—
is re ersona ,kno n to me o a /have produced� o Isl ersonal y kn__ own to me r h ve produced
� as identlfication. � ..�dentificaGo�
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'� ' � �,�y� „ Notary Public
• �Not��i rtuotic 7
' _ ���`r,,,��, ;:; ::: Commission#E 2016
Commisslon oti � �i�;, ��J�$,..$�d►FILAAI Commission No. _ . �
� gorded tlwv Troy Fdn kreuance 8043�'7019
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;� f��lllrlon#EE 140709 ����`'��`
Name of No rl eoo��es�o+s Name of Notary typed,printed or stamped
.k�."g f_SY. � .i.,
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_oie:October 18,2013 File Number�13286
du ers --------------- ------------
ELIZABETH 8 CHURCHWELL i �
P O. BOX 1358 ; �
�ADE CITY FL 33526 �
�
SeHers — - - - --- -�-- —
DEBBIE L.SOEILNER � � , AUGUST JOHN SOELLNER
-------�._-------------—---------
38446 18TH AVE
ZEPHYRHlLIS,F{orida 33542 ,
Pro Acldresses
38446 4$TI-f AVE �
ZEPHYRHILLS, Florida 33542 ;
I have carefuily reviewed the HUD-1 Settlement Statement,and to the best of my knowiedge and belief,it is a true and accurate statement of all
receipts and disbursements made on my account or by me in this transaction. I further certify that i have received a copy of HUD-1 Settlement
5tatemeni. Substitute For 1099 Se�er Skatement: The information contained herein is important tax information and is being furnisheti to the Intemal
Revenue Service. If you are required to f�e a reh►m,a negligenc;e penalty or other sanction will be imposed on you if tlhis item is required to be
reported and the IRS detertnines that it has nat been r�eported.
Pursuant to Florida Administrative Code 690-186.E110,the undersgned agrees arn!understands that in order to reduce the overall costs of title
insurance and other rviCes retated hereto,that atl interest inctxne,Aany eamed oR the disbursement account shall be retained by the Title Insurance
Agent. ����'"
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Buyer EL H `� Selle ��������---
C URCHWEL� DEBBIE l.50ELLNER
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Seller �
A US OHN S LNERi
Seller.
The HUD-1 Seu�ement Statement which I have prepared is a true and accurate account of this uansaction. I have cawsed ar will cause the funds ta be
disbursed a�a�cordance with the instructions o the paRies hereto.
Settlement Agent ��_ / Date. October 18,2013
_.-�f�sey-6ca€fui .!',�r.,,,, �.��......,�{f�-
WARNlNG. !t is a crirt�e to knowingly make false statements to the United States on this or any other simlar form. Penalties upon conviction can
include a fine aM imprisonment. For details see Title 18 U.S.Code Section 1 QQ1 and SectioR 1010.
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J 19530 Ramblewuod Urivc
Humble,TX 77338
Product Evaluation Report
GULf COAST SUPPLY& MANUFACTURING, LLC.
29 Ga. Tuff Rib Roof Panel over 1x4 Wood Purlins
Florida Product Approval # 11651.27 R1
Florida Buiiding Code 2010
Per Rule 9N-3
Method:1—D
�FliltV� j� ,
Category:Roofing �+x., qTE � � `
Subcategory:Metal Roofing Y�F `'� �
Compliance Method:9N-3.005(i)(d) ��'�'�$ �H��r��•.,
NON HVHZ ���Iti,�C� ��'
Product Manufacturer: � � ^
GULF COAST SUPPLY&MANUFACTURING,LLC.
4020 S.W.449"'Street
Horseshoe Beach,Florida 32648 q�,�U;,����.
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°...TTT
Enaineer Evaluator: �ING�QjJEc. �I,L
Terrence E.Wolfe,P.E.#44923 ��b��NArjQNAj ? � � '" ;)jNG
Florida Evaluation ANE ID:1920 � - Y�F7��j�! F `' �'�;�;{�'�D
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V li at r•
Locke Bowden,P.E.,FL#49704
9450 Alysbury Place
Montgomery,AL 36117
Contents•
Evaluation Report Pages 1—4
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FL# 11651.27 Rl February 22, 2�12
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�'1 19530 Ramblca-ood Drivc ��-�
Humble,TX 7?.i38
ComplianCe Statement: The product as described in this report has demonstrated compliance with the
Florida Buiiding Code 2010,Sections 1504.3.2,1504.7.
Product Description: Tuff Rib, %" Rib Roof Panei, Min. 29 Ga. Steel, 36" Wide, through fastened roof
panei over 1x4 wood purlins over one layer of asphalt shingles (optional) over
min.7/16"OSB or 15J32"Plywood decking.Non-Structural Application.
Panel Material/Standards: Material: Minimum 29 Ga.Steel,ASTM A792 or ASTM A653 G90 conforming to
Florida Building Code 2010 Section 1507.4.3. Paint finish optional.
Yield Strength: Min.80.0 ksi
Corrosion Resistance:Panel Material shall comply with Flor�da Building Code
2010,Section 1507.4.3.
Panel Dimension�s): Thickness: 0.014"min.
Width: 36"
Rib Height: '/."major rib at 9"O.C.
Panel Rollformer: MRS Meta)Rollforming Systems
Panel Fastener: #9-15 x 1-1/2"HWH Woodgrip with sealing washing or approved equal
'/."minimum penetration through plywood
Corrosion Resistance: Per Florida Building Code 2010,Section 1506.6,1507.4.4
Substrate DesCription: Min.1x4 No.2 SYP wood purlins over maximum one layer of asphalt shingles
(optional)over min.7/16"OSB or min. 15/32"thick over supports at maximum
24"O.C. The lx4 wood purlins shall be fastened to the wood rafters(24"O.C.
Max)with(2)9 x 2%:"Deck Screws per rafter{Minimum 1 7/8"embedment into
wood rafter). Design of 1x4 wood purlins,OSB,plywood and OSB/plywood
supports are outside the scope of this evaluation Must be designed in
accordance w/Florida Building Code 2010.
Design Uplift Pressures:
Table"A"
Maximum Total Uplift Design Pressure: 101.0 psf
Fastener Pattern: g�_g�_g••_g••
Fastener Spacing: 24"O.C.
`Design Pressure includes a Safety Factor=2.�.
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FL#ii6si.2�Ri February 22, 2012
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` ' 19530 Ramblewood Drivc �`J
Humble,T"X 77338
Code COmplianCe: The product described herein has demonstrated compliance with
The Florida Building Code 2010,Section 15043.2,1504 7.
Evaluation Report Stope: The product evaluation is limited to compliance with the structural wind load
requirements of the Florida Building Code 2010,as relates to Rule 9N-3.
Performanee Standards: The product described herein has demonstrated compliance with.
■ UL 580-06-Test for Uplift Resistance of Roof Assemblies
■ UL 1897-Q4-Uplift Test for Roof Covering Systems,
■ FM 4471,Section 5.4-Foot Traffic Resistance Test
Reference Data: 1. UL 580-94/1897-98 Uplift Test
Force Engineering&Testing,Inc.{FBC Organization#TST-5328)
Report No. 117-00407T-09,Dated il/16/09
2. FM 4471-95,Section 5 4 Foot Traffic Resistance Test
Force Engineering&Testing,Inc.(FBC Organization#TST-5328)
Report No. 117-0238T-09E,Dated 07/21/2009
3. Certificate of Independence
By Terrence E.Wolfe,P.E.(No 44923)@ Force Engineering&Testing,Inc.
(FBC Organization#ANE ID• 1920)
TeSt SWndard Equivalenty: 1. The UL 580-94 test standard is equivalent to the UL 580-06 test standard.
2. The UL 1897-98 test standard is equivalent to the UL 1897-04 test standard.
QualityAssurance Entity: The manufacturer has established compliance of roof panel products in
accordance with the Florida Building Code and Rule 9N-3.005(3)for
manufacturing under a quality assurance program audited by an approved
quality assurance entity.
Minimum Slope Range: Minimum Slope shall comply with Florida Building Code 2010,including Section
1507 4.2 and in accordance with Manufacturers recommendations. For slopes
less than 3:12,lap sealant must be used in the panel side laps.
Installation: Install per manufacturer's recommended details.
Underlayment: Per Manufacturer's installation guidelines per Florida Buildirig Code 2010 Section
1507.4.5.
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FL# 11651.27 Rl
February 22, 2012
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-� 19530 Ramblewuod Drive `J
Humhle,TX 77338
Roof Panel Fire Classification: Fire classification is not part of this acceptance.
Shear Diaphragm: Shear diaphragm values are outside the scope of this report.
Design ProCedure: Based on the dimensions of the structure,appropriate wind loads are
determined using Chapter 16 of the Florida Building Code 2010 for roof cladding
wind loads.These component wind loads for roof cladding are compared to the
allowable pressure listed above.The design professional shall select the
appropriate erection details to reference in his drawings for proper fastener
attachment to his structure and analyze the panel fasteners for pullout and
pullover.Support framing must be in compliance with Florida Building Code 2010
Chapter 22 for steel,Chapter 23 for wood and Chapter 16 for structural loading.
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_ , _.. _��__.�___.___._.. _ _ __ 888-393-Q335
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
ontrac i�Iomeowner: � � � v ��
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Date Received: �� '.��� � l�
Site: � �� �
A
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
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K vin �i —Plans Examiner Date Contractor andlor Homeowner
(Required when comments are present)
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2013180833
Permit No. Parcel ID No vd'o��o'��-�QpO'QD/�Q�Qd�i�
NOTICE OF COMMENCEMENT
State ot_ ��/Q/g Counry o! ��Cv
THE UNDERSIONED hereby gives notice that improvemeM will be made to certain real property,and in accordance with Chaptea 713,Florida Statutes,
the following information�s povided in this Notice o}CommencemeM: 7'�/�/s'UB �y f 4/09 E�Zd�
1. Description of Property: ParcelldenlKcallon No.�-�(e-�-1)O�D/'�/00.d�(o/ GOT QLl�/ � S! .�.��/
st�eet Address: JO �I yG I�y�' H'!/L �h`2%Lj.��11 , �, 3.T.ss/�
2. General Description o!Impovement /\��/C..O d'� /�[CS i u�+-�'e
3. Ovme�Information or Lessee infortnat�on il the Lessee corrtracteC for the improvement:
�-� l'h�,�ti��//
P,o. /Sp1Cm`/358' Ds��C,ry ,�� . �3sa�
Address Clty State
Interest in Property __ Ql!//JL°�
Name of fee Simple Titleholder /"�l4
(If diflereM om uwner iiated above) --- -
Address /� / City State
4. CoMractw ��Q�� (-/B!�/� D�i? (NL
/� � -7 / /
X/i�?me,�Z.3"`/ �.5, . /�' hN/�i/�G�f GL�. 3?S��
Ad ress ry/3 -�J 3'�7ar1 �rty State
CoMrador's Telephone No. a
5. Surety
Name �
Address Repl:1637930 Rse: 10.00 state
Amount or eond. 5 DS: 0.00 IT: 0.00
10/22/13 D. Bonllla, Dpty Clerk
6. Lender �
Name PRULq 5 O�NEIL,Ph D PpSCO CLERK 6 COMPTpOLLER
nddress 100R28K3�9��f 1 of 1 ��� J�� �� *
Lender's Telephone No. PG 3089 �G � *
�~ 6
7 Persons wRhin the State of Florida designated by tha owner upon whom notices or other documeMs may be served as provided by � � +�c
Sedion 713.13(1)(a�(7),Florida Statutes: � ;��� O
��.
Name (� � �^ � J
4 . � �i
� M � �
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Address CRy State �j� ,�� - �(►
Telephone Number of Deslgnated Person. � . �
8. In add'Rion to himsel/,the owner designates /i' o�— ��S . • �
to recelve a copy of the Lienors Notice ae provided in Section 713.13(1)(b),Florida Statutes. � •* �
Telephone Number of Person a Entity Desipnated by Owner
9. Expiration date of Notice of Commencement(Me expiration date may not be before the completion of conetrudion and final payme�to the
�. iAJ
contrador,but will be one year from the date af recording unless a ditfertnt date ia epecified). `�- � �„) `�, �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE 01MNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �x �' �'�
- v� w -�
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN � r..`� � il" (`�, J t-�
RESULT IN YOUR PAYING 1WICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE "" -�� I-S-� '�J� �'
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT � ;= Q-� u1 � �
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT � s� `�v� �S � `v L� �_
Under na oi u I dedare that I have read the foregomg notice of commencemeM and that the facts etated thaem are true to the best LL � �� ��, i� �Q tL
Pe nY Pe� �Y� i.7
of my knowledge and belief. � � L ` �`
STATE OF FLORIDA }- ,j E- c: °? � � �
COUNTY OF PASCO u 1°- Lu � �d= L.�� U
Ig of Owner ar Lessee,a Owners or Lesaee's Authorized °�
z i. �
� F-� Y � u-
Ofhc DlrectodPartner/Manager � � � � L�
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Slgnatory's TRIdOfflce ` � � � J
• �QF" i- � Q � .
The/oregoing instrument was aclmowtedged before me this�day oT D Q�.2p�y � � � m � �
� ? O J��
as (type of authp�i ,e.g.,oficer�,trustee,atlomey m fad)for Q � � � � �
. (na e of pa on behalf of o etrum •exec ). p� U � � } � ?
Petsonally Known❑gFj Produced Identi�cabon Notary Signature kt � �
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Type of Identmcatlon Produced�i� ���� Name(PriM) � �� ,� {
Q _ =J � � �
Ci� v-
�— = � Z � Q T
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,�"�:�n� BOBBIE S.SYVETLqNp
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�'F '` E�res February 22,2016
Ba�A ThN Twy Fah Yu�tiy ppyf 7018
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