HomeMy WebLinkAbout13-14721 CITY OF ZEPHYRHILLS
5335-8TH STREET
�sis)�so-oo20 1 2
BUILDING PERMIT
Permit Number: 14721 Address: 5923 7TH ST
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: 11-26-21-0010-00800-0260
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)wndemned work resulting
from faulty construc[ion 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 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 C es and Ordinances. NO OCCUPANCY BEFO C.O.
:
C TRA ATURE PERMIT OFFI R
PE MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills 153 26258
� R.T.D.CONSTRUCTION,INC. I
ZEPHYRHILLS,FL 33539
INVOICE NO DESCRIPTION INVOICE AMOUNT DEDUCTION BALANCE
PERMIT-5923 Permit-5923 7th Street 75 . 00 . 00 75 . 00
CHECK 11-13-13 CHECK 26258 TOTALS 75 . 00 . 00 75 . 00
DATE NUMBER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Buiiding 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, Ze h rhills, FL 3 542 Owner Phone Number —�
Fee Simple Titieholder Name Owner Phone Number
Fee Simpte Titleholder Address
JOB ADDRESS 5923 7th Street, Zephyrhills, FL 33539 LOT# C�
SUBDIVISION � PARCELID# 11-26-21-0010-00800-0260
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSED U8E Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK interior demolition
BUILDING SIZE 3Q FOOTAGE (��c.�/ HEIGHT
BUILDING $ �v J VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q __PROGRESS ENERGY Q W.R.E.C.
- � �_
QPLUMBING $ ----�
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QMECHANICAL $ VALUATION OF MECHANICAL INSTAL 6
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T
OGAS Q ROOFING Q SPECIALTY � OTHER �
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FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��/�
I
BUILDER r COMPANY RTD Construction,
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address P.O. Box 2439 e yrhills, FL 3353 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 � REGISTERED 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 Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles 8�1 dumpster;Site Work Permit for subdivisions/large 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(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pe�mit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"*'PROPERTY SURVEY required for all NEW consVuction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement is required. (A!C upgrades over ST500)
"• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Frb'1'it of AppHtaHan Only)
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 compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to unde�take work, they may be required to be licensed in accordance witn 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 IMPACTIUTILITIES 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 g�od faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'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 Fforida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental 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 the fill material is to be used in Flood Zone uA" 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 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 autho�ity to violate, cancet, 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 O�cial for a period not to exceed ninety (90) days and witl 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 Y TEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN A RNEY BEFORE RECORDING Y UR TICE OF COMMEN MENT.
FI,.QRIDA JURAT(F.S. 117.03)
O OR AGE ` CONTRACTOR +�+o�kTi�tL_
�. __�� swor o(or ffirme be re me this Subscrlbed and sworn t rmed before me thi i�, �„�t��; �c.y 3
by by ��►,�r 1� SA�� rl�e�; ....i�-
Who is/are personally known to me or has/have produced Who is/are Qersonativ known to me or has/have produced
as Identlflcadon. as identification.
,
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Notary Public Notary Public
mission No. ,��`w��"'•. TIMBERLY M.WEEKS
Commission No. ;r, ,�,,, otary ub ic- tate o on a
:•; ;•= M Comm.Expires Apr 11.2015
Name of Notary typed,printed or stamped Name of Notary ty .,,E oF F���`startf�dmission #EE 63611
,,,, Bonded Through National Notary Assn.
1 1-26-2 1-00 1 0-00800-0260 � Pasco County Property Appraiser Page 1 of 1
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, November 9, 2013
Parcel ID 1i-26-21-0010-00800-0260 (C�eerd: 001 of 001)
Classification 10 - Vacant Commercial
Mailing Address Property Value
JORDAN MARJORIE REV LIV TR& Ag Land $0
JORDAN LIVING TRUST Land $29,400
PO BOX 243
ZEPHYRHILLS FL 33539-0243 Building $0
Physical Address Extra Features $0
5923 7TH ST
ZEPHYRHILLS FL 33542-3501
Leyal Descri tn ion(First 4 Lines) ]ust Value $29,400
See Plat for this Subdivisior�
A5525S2d (Non-School Amendment 1) $29,400
NORTH 100.00 FT OF FOLL: A
STRIP OF LAND 200.00 Ff WIDE Taxable Value
100.00 Ff WIDE ON EACH SIDE OF $29,400
CTR LN OF ROADBED OF FORMER
Jurisdiction
Citv of ZeqhvrhillsL,�'
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
1 1000 COMMERCIAL OOC2 20,000.00 SF $1.47 1.00 $29,400
Additional Land Information
Acres 0.46 Tax Area 30ZH FEMA X Commercial Code M75T2CC
Code —
Building Information - Use 00 - Unimproved (Card: 001 of 001)
Unim roved Parcel 00 - Unim roved
Extra Features (Card: 001 of 001)
Line Description Year Units Value
No Extra Features
Sales Historv - See All 6 sales
Previous Owner: WELLS FARGO BANK NATIONAL
Month/Year Book/Page Type DOR Condition Amount
Code
10/2013 8952 / 1310[�r WDeedtY � Vacant Multi-Parcel Sale
il/2010 8464 / 1135t�' Certificate � Vacant $0
of Title
04/1997 3726 / 0295rr Warranty Vacant $0
Deed
http://www.appraiser.pascogov.com/search/parcel.aspx?parcel=2126110010008000260 11/13/2013
RTD
CONSTRUCTION, INC.
Construction of Water& Wastewater Treatment Plants
P.O. BOX 2439 PH. 813-783-9119
ZEPHYRHIL,LS,FL 33539-2439 FAX. 813-783-9333
November 13th, 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 13�h 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'fcatio� Pro ce
Witness• ::�`:�`:°�`t:;: �_.... tiiC�c�au�psar
=*: �.� h1Y GQh�1PAi9SI0N#EE 186641
Meli a say =��� 7'� �xai���;�una a,zo�s
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"�;p,':�'.,'�, Bor.��ea?'�m,r��;�ry auG�w U�arwriters
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Witness•
Ke Lan er
CG-0060736�CU-0057278(Florida)
GCC0002648•UC301954(Georgia)
69739(North Carolina)
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PREPARED BY AND RETURN TO: Rcpt:1660293 Ree: 27.00
p5: 2730.00 IT: 0.00
CynthiaM.Montgomery,Esq. 10/31/13 C. Miner, Dpty Cle�k
� GrayRobinson,P.A.
� 50 North Laura Street, Suite 1100 PAU�fi S 0'NE IL,Ph D PRSCO CLERK � COMPTROLLER
Jacksonville,Florida 32202 10 Ri BK �9�� iPG� '13'j,0
3�O�'oo�.
SPECIAL WARRANTY DEED
-N^✓
THIS SPECIAL WARItANTY DEED, dated the � day October, 2013, is made by
WELLS FARGO BANK,N.A., a national banking association ("Grantor"),whose mailing address
for purposes hereof is Two Wells Fazgo Center,T-30,30l South Tryon Street,D1130-305,Charlotte,
North Cazolina 28282, to and in favor of(1) MARJORIE S. JORDAN AS TRUSTEE OF THE
MARJORIE S. JORDAN REVOCABLE LIVING TRUST DATED OCTOBER 8, 2003, (2)
TONY D. JORDAN AND DONNA S. JORDAN, AS CO-TRUSTEES OF THE JORDAN
LIVIl�TG TRUST DATED MAY 2, 2011, and (3) DAN,�TIE E. JORDAN AND NLIE 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 aze hereby acknow-
ledged, by these presents does hereby convey, bazgain 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 part 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, tenements, hereditaments, rights-of-way, easements,
appendages, appurtenances, reversions, remainders, riparian or littoral rights belonging or in any
wise appertaining to the Land or any improvements 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 warrants and will defend the title to the Property against the lawful ciaims and demands of
all persons claiming by, through or under Grantor, but none other; provided, however, that this
� . � oR Bx gg52 PG 1311
Z of 3
conveyance and title to the Property is subject to taxes and assessments for the year 2013 and
subsequent years which are not yet due and payable, and covenants, easements, and restrictions, if
any,of record,which reference herein shall not be deemed to re-impose same.
IN WITNESS WHEREOF,Grantor has caused these presents to be executed in its name the
day and year first above written
Signed and delivered WELLS FARGO BANK, N.A., a national
i pr ence o . banking association
P ' t n . KATHy L. A��Gitca-- B '
n' Te K.Bl ,Vice P ident
(,�'
Print n e:�M�l L., L�I�-�T�-.
STATE OF FLORIDA
COUNTY OF l�vY
The foregoing instrument was acknowledged before me thisoZ, �'day of ��ID� ,
2013,by Terri K.Blay,Vice President of Wells Fargo Bank,N.A.,a national banking association,on
behalf of the association,who�(is personally known to me or❑ has produced as
identification.
- YGC� !/v� ��
Print name: .P.l"%C /G e t�
Notary Public, State of Florida at Large
My Commission expires:T��.o/S
(Notarial Seal)
�ry Vus�ww�
-�„� pAY CONN�ION�EE09p27
EXPIR�S:May 18.2015
• � � Bonded llMU Na�ry P�M�IhieeiwrNare
, � OR BK 8952 3� 1312
Eahibit"A"
Legal Description
That portion of the abandoned S.C.L. Railroad in Section 11, Township 26 South, Range 21
East, described as follows:
Commencing at the NW corner of Block 8, as shown on the Plat of the TOWN OF
ZEPHYRHILLS, as recorded in Plat Book 1, Page 54, of the public records of Pasco County,
Florida; run South 63°28'34" West, 60.0 feet along the Southerly extension of 16th Avenue
to the East line of the former S.C.L. Railroad right-of-way for a POINT OF BEGINNING;
thence run South 26°25'00" East, 100.0 feet along the Easterly line of the said S.C.L.
Railroad right-of-way; thence South 63°28'30" West, 200.0 feet to the Westerly (ine of the
S.C.L. Railroad right-of- way; thence North 26°25'00" West, 200.0 feet along the said
Westerly line of the S.C.L. Raflroad right-of-way; thence North 63°28'30"East, 100.0 feet;
thence North 26°25'00" West, 302.10 feet to the South �ight-of-way line of North Avenue;
thence North 88°52'00" East, 110.53 feet along the said South fine of North Avenue to the
Easterly right-of-way line of the said S.C.L. Railroad right-of-way; thence South 26°25'00"
East, 355.17 feet along the said East right-of-way line to the POINT OF BEGINNING.
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' 2013194125
Pertnit No. Parcel ID No 11-26-21-0010-00800-0260
NOTICE OF COMMENCEMENT
�-►v�
State of Florida County of PaSCO � y n
. �
.+ �.
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, �m••
the following infortnation is provided in this Notice of Commencement: � � F"�
1 Description of Property Parcel Identification No. Of f 1Ce Bu�ld�ng 11-26-21-0010-00800-0260 w m�
streetAddreSS: 5923 7th Street� Zephyrhills, FL 33542 � �
. �
2. General Description of Improvement d�0 and remodel Of lIIterlOT 3 �
r.
3 H
� 1�
.. �
3. Owner Information or Lessee information if the Lessee contracted for the improvement: ` f1
Dannie E. Jordan �@
� m.�
5344 9t�ia�treet Zephyrhills � .�m m
Address City State � @
Interest in Property OWIIeY �--
10
Name of Fee Simple TiUeholder S�e �
(If different from Owner listed above) �
Address R� COIIStTl1Ct10II� IIIC. �'H State
R 4. Contractor
5344Na�th Street P.O. Bg 2439 Zephyrhills �
Address City State
Contractors Telephone No. 813-783-9119
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5. Surety 0 ��
Name ��.+ n
��
Address City State �� o
Amount of Bond: $ Telephone No. (p�
m
6. �ender �"�
Name ~�
�w�
�
Address City State �m o
Lendefs Telephone No. M3 v
��11� �
c;,
7 Persons within the State of Flonda des�gnated by the owner upon whom notices or other documents may be served as provided by c�
Sedion 713.13(1)(a)(7),Florida Statutes: �~ �
Dannie E. Jordan, President of RTD Construction, Inc. � �
Name p m
� �
P.O. Bog 2439/ 5344 9th Street, Zephyrhills FL
Address Ci State �~�
Telephone Number of Designated Person: 3S2—�FL�i-03O7 / 813�-783-9119 � �
�
8. In addition to himself,the owner designates of_ o
to recerve a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Flonda Statutes. �
m
Telephone Number of Person or Entity Designated by Owner A
9. Expiration date of Notice of Commencement(the expiration date may not be before the comple6on of construction and final payment to the
conhactor,but will be one year from the date oi 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
RESULTIN YOUR PAYING TWICE 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 OR AN ATTORNEY BEFORE COMM ING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I declare that I have read the foreg ing no' e of commencemenl and that the facts stat d lherein are true to the best
of my knowledge and belief.
�
STATE OF FLORIDA
COUNTY OF PASCO
Signalure of Owner or Lessee,or Own s or ssee's Authorized
OfficerlD irectodPartnedManager
Dannie E. "Jordan, resident RTD Coonstruction
Signatory's Title/Office
The foregang instrument was acknowledged before m�f this �3 day of �✓ ,20�T,by �1'l1 Q F���(O�t7�1/L
as YSI�iu:F (rype of authonry,e.g.,officer,Wstee,attomey�n fact)for
Y� ���P_�e`�j ���(' (name part�"'on half whom instrument was e �cuted).
Personally Known�OR Produced Identification❑ Notary Signature
Type of Identifica6on Produced Name(Pnnt)
�.��������•. TIMBERLY M.WEEKS
;'r°���Y PLe`�: Notary PuDlic-State ot florida
: : •=My Comm.Expires Apr t t,2015
=; �� Commission#�EE 63611
I'%;�`,os��d"`'�
���������� Bonded Through National Notary Assn.
wpdata/bcslnoticecommen ce