HomeMy WebLinkAbout13-14720 � CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oo20 1 4
BUILDING PERMIT
Permit Number: 14720 Address: 38038 NORTH AVE
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-00200-0210
Improv. Cost: 9,000.00
Date Issued: 11/13/2013 Name: JORDAN LIVING TRUST, JORDAN, M
Total Fees: 75.00 Address: P.O. BOX 2439
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33539-2439
Date Paid: 11/13/2013 Phone: (813)783-9119
Work Desc: INTERIOR DEMOLITION
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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.
"Warning to owner: Your failure to re�rd a notice of aommencement 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
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
NTRAC SI TURE PERMIT OFFI R
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
26257 ,
C�ty C,'i Zephyrhills 153 R.T.D.CONSTRUCTION,INC.
ZEPHYRHILLS,FL 33539
INVOICE NO DESCRIPTION INVOICE AMOUNT DEDUCTION BALANCE
PERMIT-38038 Demo Permit-38038 North 75 . 00 . 00 75 . 00
DATEK 11-13-13 Nunn ER 26257 TOTALS 75 . 00 . 00 75 . 00
r�3-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Nov. 13, 2013 Phone Contact for Permittin 813 783 __ 9119
Owner's Name Dannie E. Jordan Owner Phone Number 352-424-0307
Owner's Address 5344 9th Street, Zephyrhills, FL 3 542 p�er Phone Number �—
Fee Simpie Titleholder Name � Owner Phone Number �
Fee Simple Titleholder Address
JOBADDRESS 38038 North Ave. , Zephyrhills, FL 33542 LOT�t �
SUBDiVISION PARCELID# 11-26-21-0010-00200-0210
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEw CONS7R 8 ADDlALT 0 SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
�
DESCRIPTION OF WORK interior demolition
BUILDING SIZE � SQ FOOTAGE O .IOO HEIGHT
BUILDING $ � VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRES�ENERGY Q W. . .
v / ,-r �
QPLUMBiNG $ �� /��C9�� ,�o�i
-- �- `�Y'"'—
' l
QMECHANICAL $ VALUATION OF MEC1#ANICAL INSTALLATION �� � �} /
� Y>l /•,
� �����i.�
OGAS Q ROOFING Q SPECIALTY �] OTHER / ��
,/ ��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � ,
BUILDER COMPANY RTD Construction, Inc. •
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address P.O. Box 2439 phyrhills, FL 335 9 License# CGC060736 —�
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 REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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 consUuction.
Directions:
Fill out appHcation completely.
Owner&Contractor sign back of application,notarized
If over S2S00,a Notice of Commencement is required. (A/C upgrades over ST500)
'" Agent(for the contr�ctor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTE#t PERMITTING �N (�r6rfi�f�pp�liceila�.QNY)
Reroofs if shingles Sewers Service Upgrades A/C ;Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs RC3W
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 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 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 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'SlOWNER'S AFFIDAVIT: I ce�tify 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. 1 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, Attering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Autho�ity-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 Iots 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 LENDER AN O EY BEFO RECORDING Y NOTICE OF COMM NCEMENT.
FLBRtD7C.TU�1T`(F.S. 117. 3) r ,,,/ �
OW ER OR � CONTRACTOR � �S 1�1- �hJ'�/�W,�C
ed and sworn or med) re this Subscrlbed and swom to or affirmed befo this ! r /Jc�'• zo=�
by � by „
Who is/are personally known to me or as/have produced Who fs/are R?rsonat�y known to rae or has/have pro uced
as IdentlficaBon. as identification.
' 'i
Notary Public otary Public
Commission No. ..����'���.. TIMBERLY M WEEKS
Commissfon Na ,=o� ���;, No ary '
' * ` .:M Comm Expires Apr 11.2015
Name of Nota . ' staidp��ssion
Name of Notary typed,printed or stamped ry �'F� "•�'� gonded Through NaUonal Notary Assn.
-1�,;;,,
1 1-26-21-0010-00200-0210 � Pasco County Property Appraiser Page 1 of 1
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Friday,,November 8, 2013
Parcel ID 1i-26-21-0010-002fl0-021� (Card: 001 of 002)
Classification 19 - Professional Service Building
Mailing Address Property Value
JORDAN MARJORIE 5 REV LIV TR& Ag Land $0
]ORDAN LIVING TRUST �
PO BOx 2439 Land $84,502
ZEPHYRHILLS FL 33539-2439 Building $799,447
Phvsical Address-S�ae Atl 2 Extra Features $10,982
addresses �F��SC shoWO� 1� �
� 38042 NORTH AVE ,i� �' � \
ZEPHYRHILLS FL 33542-74 8 )ust Value $894,931
Le�l Descri t�(First 4 Lines) A55255ed (Non-School Amendment 1) $894,931
See Plat for this Subdivisio�
CITY OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $894,931
PORTION OF VACATED SCL RR R/W
DESC AS COM AT NW CORNER OF
BLOCK 8 TH 563DEG 28'30"W
Jurisdiction
Citv of ZeohvrhillsG�
Land Detail (Card: 001 of 002)
Line Use Description 2oning Units Type Price Condition Value
1 1900 PROF.BLDG OOC2 7,000.00 SF $3.50 1.00 $24,500
2 1900 PROF.BLDG OOC2 40,818.00 SF $1.47 1.00 $60,002
Additional Land Information
Acres 0.23 Tax Area 30ZH FEMA X Commercial Code M7ST2CC
Code
Buildinq Information - Use 19 - Offices Professional or Medical (Card: 001 of 002)
Year Built 1978 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Irregular Roof Cover Built-Up Tar and Gravel
Interior Wall 1 Plywood Panel Interior Wall 2 Drywall
Flooring 1 Carpet Flooring 2 Quarry or Hard Tile
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 6.0
Line Description Sq. Feet Repl. Cost New
1 AOF 8,700 $773,169
2 CAN 330 $8,798
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 PAV ASP 1983 11,094 $2,912
2 FDA 1998 720 $1,913
Sales Historv - See All 6 sales
Previous Owner: WELLS FARGO BANK NATIONAL
Month/Year Book/Page Type �ode Condition Amount
10/2013 8952 / 1310C,r Warranty � Improved Multi-Parcel Sale
Deed
11/2010 8464 / 1135[�' Certificate � Improved $0
of Title
04/1997 3726 / 0295Lr Warranty Improved $0
Deed
http://www.appraiser.pascogov.com/search/parcel.aspx?parcel=2126110010002000210&... 11/13/2013
11-26-21-0010-�0200-0210 � Pasco County Property Appraiser Page 1 of 1
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Friday, November 8, 2013
Parcel ID 11-26-21-0010-00200-0210 (Card: 002 of 002)
Classification 19 - Professional Service Building
Mailing Address Property Value
JORDAN MARJORIE 5 REV LIV TR& Ag Land $0
]ORDAN LIVING TRUST Land $84,502
PO BOX 2439
ZEPHYRHILIS FL 33539-2439 Building $799,447
Phvsical Address-See All 2 Extra Features $10,982
addresses�F�.sc snoW��
38042 NORTH AVE
ZEPHYRHILLS FL 33542-7468 )ust Value $894,931
Le�al Descri tn ion(First 4 Lines) A55255ed (Non-School Amendment 1) $894,931
See Plat for this Subdivisior}�
CITY OF ZEPHYRHILLS PB i PG 54 Taxable Value $894,931
PORTION OF VACATED SCL RR R/W
DESC AS COM AT NW CORNER OF
BLOCK 8 TH 563DEG 28'30"W
7urisdiction
Citv of ZeohvrhillsL��
Land Detail (Card: 002 of 002)
Line Use Description Zoning Units Type Price Condition Value
Additional Land Information
Acres 0.23 Tax Area 30ZH FEMA X Commercial Code M7ST2CC
Code
Buildin4 Information - Use 19 - Offices Professional or Medical (Card: 002 of 002)
Year Built 1986 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gab�e or Hip Roof Cover Clay or Bermuda Tile
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 6.0
Line Description Sq. Feet Repl. Cost New
1 AOF 6,125 $621,259
2 CAN 1,280 $38,949
Extra Features (Card: 002 of 002)
Line Description Year Units Value
1 PAV ASP 1986 20,995 $5,511
2 SWC 1986 972 $401
3 8CBWS 1986 378 $245
Sales Historv -See All 6 sales
Previous Owner: WELLS FARGO BANK NATIONAL
Month/Year Book/Page Type C de Condition Amount
10/2013 8952 / 1310�,r Warranty � Improved Multi-Parcel Sale
Deed
11/2010 8464 / 1135[�'' Certificate 1
of Title � Improved $0
04/1997 3726 / 0295C�'' Warranty Improved $0
Deed
http://www.appraiser.pascogov.com/search/parcel.aspx?parce1=2126110010002000210&... 11/13/2013
RTD
CONSTRUCTION, INC.
Construction of Water& Wastewater Treatment Plants
P.O. BOX 2439 PH. 813-783-9119
ZEPHYRHILLS,FL 33539-2439 FAX. 813-783-9333
November 13t'', 2013
RE: Issuance of Construction License & All Permits
The following RTD Construction,Inc. employee has all permissions to obtain any
permit with regards to the City of Zephyrhills. I Dannie E. Jordan authorize such
individual to have Power of Attorney as well for this project only.
Timberly Weeks
If any clarification is requested in this matter, please do not hesitate to contact Rusty A.
Haughn,Vice-President at 813-783-9119.
S ncer y,
I
Dannie E. Jordan,Pre ' nt
The foregoing instrument was acknowledged before me this 13th day of November 2013
by Dannie E. or n who signe a mark in the presence of these witnesses.
Notary Sign ture �
(Melinda Li sa Notary Pub ic)
Personall own x OR Produced Identification N/A
Type of e t' icatio� Pro ce
c.i>, �Mr.`....ei...r
Witness• r'"`�""' �ALEPIDSAY
.��...,�; tii��!r�
s*: � ':.; hiY(;�hiPAi3;i1UN#�E 9866M1
•Meli a say ';,���,�� s�,a�xa�j�;un�a,zo�s
f,,,, y PuG�ic Undenvriters
Witness• /� ' �
Kel Lan er
CG-0060736�CU-0057278(Florida)
GCC0002648•UC301954(Georgia)
69739(North Carolina)
� � � �iiiiii�ii��iiiii►uii iuii�i�o iiiii ii�ii oiiiii�iiii�i iui
� 2013186760
�
PREPARED BY AND RETURN TO: Rept:1560293 Rse: Z7.00
D5: 2730.00 IT: 0.00
CynthiaM.Montgomery,Esq. 10/31/13 C. Miner, Dpty Clerk
� GrayRobinson,P.A.
� 50 North Laura Street,Suite 1100 PAULA 5 0'NE IL,Ph 0 PRSCO CLERK 6 COMPTROI.LER
Jacksonville,Florida 32202 100R1 BK �9�� PG�f'j,310
3�O�'000.
SPECIAL WARRANTY DEED
-f'�r'�
'I'HIS SPECIAL WARRANTY DEED, dated the � day October, 2013, is made by
WELL5 FARGO BANK,N.A., a national banking associat�on ("Grantor"), whose mailing address
for purposes hereof is Two Wells Fazgo Center,T-30,301 South Tryon Street,D1130-305,Charlotte,
North Carolina 28282, to and in favor of(1) MARJORIE S. JORDAN AS TRUSTEE OF THE
MARJORIE S. JORDAN REVOCABLE LNING TRUST DATED OCTOBER 8, 2003, (2)
TONY D. JORDAN AND DONNA S. JORDAN, AS CO-TRUSTEES OF THE JORDAN
LIVIl�TG TRUST DATED MAY Z, 2011, and (3) DANNIE E. JORDAN AND JULIE A.
JORDAN,AS CO-TRUSTEES OF THE JORDAN LIVING TRUST DATED MAY 2,2011,as
tenants in common each having an undivided 1/3 interest (collectively, "Grantee"), whose
mailing address for purposes hereof is P.O.Box 243,Zephyrhills,Florida 33539.
WITNESSETH:
That Grantor, for and in consideration of the sum of Ten and No/100 Dollars ($10.00) and
other good and valuable consideration, the receipt and sufficiency of which are hereby acknow-
ledged, by these presents does hereby convey, bargain and sell unto Grantee, its successors and
assigns,the following described property(the"Property"):
A. All of that certain land (the "Land") situated in Pasco County, Florida, being more
particularly described on Eahibit"A"attached hereto and made a put hereof.
B. All right, title and interest of Grantor in and to the improvements of any nature
whatsoever situate on the Land as of the date hereof.
C. All rights, privileges, teneinents, hereditaments, rights-of-way, easements,
appendages, appurtenances, reversions, remainders, riparian or littoral rights belonging or in any
wise appertaining to the Land or any unprovements thereon and all right,title and interest of Grantor
in and to any streets,ways,alleys, strips or gores of land adjoining the Land;
TO HAVE AND TO HOLD the Property unto the Grantee in fee simple forever;
AND GRANTOR does hereby covenant with Grantee, except as to matters hereinafter set
forth,that at the time of the execution of this Deed, Grantor is lawfully seized of the Property in fee
simple, Grantor has good and lawful authority to sell and convey the Property to Grantee, and that
Grantor wamdnts and will defend the title to the Property against the lawful claims and demands of
all persons ctaiming by, through or under Grantor, but none other; provided, however, that this
N—
Parcel ID No 11-26-21-0010-002c7Q-0210 m�
Permit No. ~
W�
N�
NOTICE OF COMMENCEMENT A�
State of Florida County of PaSCO �'�
N=
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, �C
the following information is provided in this Notice of Commencement: M�. �
t Descriplion of Property: Parcel Identific�,iior No. Off1Ce BII11d1IIg 11-26-21�01�—O��ZVV—�2�0 _
Street Address: �-�,� AVe♦ , Zephyrhills, FI. 33542 �
2. General Descnption of Improvement demo 3IId remodel Of lIItCr10T _
3. Owner Informatlon or Lessee information if the Lessee contracted for the improvement
Dannie E. Jordan —
5344 9t�iamS�treet Zephyrhills � �
Address City State
Interest in Property owner
Name of Fee Simple Titleholder: S�e
(If different from Owner listed above)
Address R� COIIStYllCtlOII� IIIC. City State � ��
4 Contractor
5344Na�th Street /P.O. Bx 2439 Zephyrhills � ,,�, •• �
R 4ddress City State A m..
�;ontractor's Te�ephone No. 81-3-783-9119 F+ ��
w @ O1
5. Surety
Name � ~
(71
Address C�ty State 3 �
r.
Amount uf Bond S Telephone No � �,y
� -i.�
� Lender � " 10
Name � n
v�"
4ddress City State 'a ��
Lender's T�lephone No. ���
`G
7 Persons wdhin the State of F�onda aesignated bY Ihe owner upon �vhom notices or other documents may be served as provided by (7 �
Sec[ion 713.13(1j(a)(7).Florida Statutes ""'
Dannie E. Jordan, President of RTD Construction, Inc. �
Name �
P.O. Box 2439/ 5344 9th Street, Zephyrhills �L
address
Telephone Number nf Designaled Person 352-424-0307 / 81�-783-9ll 9 tate
i In adddinn tn nimsalf ihe oo+mer desiynat�s nf__
to rzrer;e 3 r,opy of�he Liei�,or s Nohce as providad in Sachon i 13 1>i U�bl Floriria Sratute�
��I_phone i�lumr,er of P�is,in�ir Entit�v D�signate�]ny�,�vner __ __
— r �
r+ �
.� _.pirauon�I=_le nf idotire�i;_nmm?ncan�ent i[he•��cpiraUOn�fa[e rnay m�l or berore the aimplatinn ur,�onstrucUun and rinal F�ayir,�„ni t��,,i�. O\r
�:onlrectur but�:nll be one year£iom�he dale uf rzcorAn�g unless a differaN date is>pecifietl� ��D
U�
�.VAP.NING TO OWNER :,NY PA1 MENTS l�1NDE E'f THE OVVNER AFTER THE EXPIRATION OF �HE NOTICE OF COMMENCENiENT W �
-�RE CONSIDERED IMPROPER Pv'(MENTS UNDER CHAPTER 713 PART 7. SECTION i 13.13 F�ORIDA STATUTES P.ND CAN �►+ o
P,ESULT IN YOUR PAYING PNICE FOR IPAPROVEMENTS TO YOUR PROPERTY A PJOTICE OF COMNIENCEtiIENT ��tUST BE W �
RECORDED AND POSTED OM THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT m
INITH YOUR LENDER OR AN ATTORNEY 9EFORE COMME ING VVORK OR RECORDING YOUR NOTICE OF COMMENCEMENT ��' �
N r
Under penalty ot per�ury I dedare that I havz raad the rorzg ing noti of commencement and lhat rhe facts stated therein 3rz true to th?best �w=
ni my knowledga and belief. /��
V�y °
ST;,TE OF FIORIDA � �B T'
C�iUNTI OF PASCO �
SignaNre of Owner or Lessee,or Oevn cr ee's Ihonzed r o
Officer/DirectodPartnedManager � �
Dannie E. Jorda resident RTD Coonstruction � o �
Signatory's Title/Office f!7�x
� 1 �C �--�'� (�~¢
The foregomg instrument was ackno�vledged before me this day of 20�,by �,x,nn� �-1M c�
� o
as r� Itype of authonry z g. officer trustee attomey m facq fcr � 3�
7 iname of party n zhalf o hom instrument was exec ed). �
0
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