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Home My WebLink About14-14877 • CITY OF ZEPHYRHILLS ' S335-STH STREET �� (813)780-0020 rl'4t3// BUILDING PERMIT Permit Number: 14877 Address: 38805 FEATHERING WAY LOT 12 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: EAGLE RANCH Est. Value: 130,000.00 Parcel Number: 14-26-21-0170-00000-0120 Improv. Cost: 6,300.00 Date Issued: 1/09/2014 Name: COUNTY PROPERTY MANAGEMENT LL Total Fees: 70.00 Address: 38805 FEATHERING WAY Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/09/2014 Phone: Work Desc: REROOF SHINGLE � . �� /v� J ' S�t,b�` � 1� ' ;_. �� TAPE JOINTS RZ °f��NtSP FINAL I �� REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when e�ctra inspection trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty wnstruction 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 performed in acxordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. _ � \ � CONTRACTOR IGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � 8t3-��?� City of Zephyrhills Permit Applica6on Fax-813-780-0021 Building Depar6nent Dats Rscsivsd phone CoMad for ParmHtln - T77-TT-iTr - owners Nsms �P� b-9wner Phone Number !3— --1 ( �� Owner's Address !'�� G� / . -T l�• Owner Phone Number � Fee Simple Titleholder Name �� Owner Phona Number �- � Fee Simple Titleholdar Addross JOB ADDRESS V S � �C�� . E'l�°� LOT i C.��J SUBDIVISION h;/TVl.� PARCEL IDk l `� °�'(""U�"O d UL`� �2 (08TAINED FROY PROPERTY TA7C NO710E) WORK PROPOSED e NEW CoNSTR 8 ADDIALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q �� DESCRIPTION OF WORK �ICE/ - `'� '� BUILDING SIZE S FOOTAGE � U HEIGHT � � ( QBUILDING S � �� VALUATION OF TOTAL CONSTRUCTION C/ QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ ; / � v � \/ � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � n ,,��Q/ � I fAV\. � � l.i'' � V " QGAS � ROOFING Q SPECIALTY Q OTHER ,� � FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA �YES NO � BUILDER COMPANY 6W �lE'�t_� 6+vv�CNb- '�` w �� -�"l� SIGNATURE "� �cisrEr�o Y/N F�cur�n Y/N Addross �/�Ss� � '�{"-�L�S.. �L. �SS '�� License# C�Z�L �� ELECTRICIAN COMPANY SIONATURE REGISTERED Y! N FEE CURRE� Y!N Add►ess License# � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# � MECHANICAL � � COMPANV � SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# � OTHER � COMPANY SIGNATURE r�cis�rs�o Y! N F�cuRaEn Y/N Addresa License# IIIIIIIIIIIIIt1i111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, Minimum ten(10)working days aRer submittal date. Required ons8e,Construction P�ans,Stortnwater Ptans w/Silt Fence installed, Sanitary Facilfties&1 dumpster;Site Work Pertnit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-aW Permit for new construc[ion. Minimum ten(10)waking days after submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projec[s.Ali commercial requiremeMs must meet compliance SIGN PERMIT Attach(2)sets of Engineared Plans. ""PROPERTY SURVEY required for all NEW consWdion. Dlrodlons: Fill out application completely. Owner 8 Contractw sign back oi application,notarized If over 52500,a Nodce of Commsnesment is required. (NC upg�ades over 57500) " Agent(for the conVactor)w Power of Attomey(iw the owner)would be someone with notarized letter irom owner authoriang same OVER THE COUNTER PERMITTING (Frart of Application Ony) Reroofs if shingles Sewers Service Upgrades A/C Fenc�(PIoUSurvey/Footage) Driveways-Not over Counter if on pubiic roadways..needs ROW NOtICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subject to"deed"resVictions" 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 woric,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 conVactor 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, 'rf 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 privifeges 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 speafied 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 pertnitting. It is further understood tfiat 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 prio�to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of wo�ic 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 Departrnent of Agriculture and Consumer ATfairs. If the applicant is someone other than the"owner°,I certify that 1 have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S10WNER'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 pertnit and that all woric 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 cerdfy that I understand that the regulations of other govemment 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, WeUand Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health 8 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 "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 fhe 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,1 promise in good faith to infortn the owner of the permitting conditions set forth in this affidavit prior to commencing consVUCtion. I understand that a separate pertnit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specificalty induded 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,consVuction 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'rf 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 demonsVate 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 R AN ATTORNEY BEF RE RE RDING YOUR N TICE OF C MMENCEMENT. FLORIDA JURAT(F.S.117.03) �— \ OWNER OR AGENT CO AL"f0 _-�^ Subscribed an b�wom to(or affirtned)before me this Su bed a b or affirmed � ��C -� �``�`�'�_� � Who is/are personally known to me or hasA�ave produced Who islareper�Qn ly know �o me or haslhave produced as identifiqtion. F)_. J�t11•Q,t� � o,.�J�-as identification. Notary Public � Y Notary Pudic Commission No. C mi o. •�""�„ E BOGES Name of Notary typed,printed or stamped Name of N �}% ,,,,� ber 12,2014 e�nesa n.0 noy Fdnkuur��800.3PS-;p�;�� . �..,�,...,a.; ... �V+sap Ca�n►Y Pioperty�ppraise.-vr.+aavs Incemet H�plore. I��, ��I� , '`.:? � ..... �_..r htta/lappraisu.pascogov.comi � .,. Y ,. . � .:� �t X �Q Bing Q ' 5i�F� ��c �Fee rbh^ail �►Iw„�-�r�� !s�99estea saes- �'j w�n sx«Ga�kn- I�Q Teu Orive Wiy Dewtiw�l._ �Paxo Cowiy P+opety��x� l � ' � � � $ � Page� S�dy� Taok• �' » li:, Search Aaain Ma° Generalized Buflding Schematic Estimate Taxes Freauentfy Asked Oueshons �� Notice of Proposed Taxes 2D13'� Other Agency Data: Tax Collector Schod Board �ervisor of Elections y :'.:L1M� 1di.�.�. Weeldy Arcfiive-SaturdaY,]arwary 4,2014 �'� ia-z6-zi-oi�o-00000-0izo (Card:001 of 001) - � �, .;�,',�-; �,:� 01-Single FamdY - .., .,;;., . ., , . . .. . . ._._ . . , . ,�� DEIfTSCFIE BANK NATIONAI TRUST Ag Land ;0 � COMP'4MYTR�STEE � �and 516,651 �� 1761 EAST ST ANORE W PL SANTA ANA CA 92705-4934 8��9 553,276 t�l1i7�� Extra Featixee $712 38805 FEA7}£WNG WAY ZEPFIYRH[LLS FL 33542-7194 �iR�4�� JUSt VaIUC $70�639 See Plat for this 5ubdivision� Assessed(NOn-Sdwol Amendrtxnt 1) 370,639 EA(�E RANCH SUBDNISION ,� PB 56 PG 124 Taxable Value �7Q639 LOT 12 OR 8968 PG 1663 . . .. . .. . . ..11�011 Ciri of Zeohvrhills [3 Od�{Card:001 ai 0Q1 ' Line use Descriptbn Zo�ng Units Type Price Condition value 1 0100 SFR �OR4 6,000.00 .�F 52.75 1.00 516,500 2 0100 SFR OOR4 472.00 � �0.32 1.00 s151 -------------- � ` � ' �m��v�a�a�o� �`a - �xaox - _ ,, . � JAN-07-2014 TUE 12�04 PM Genesis Title FAX N0. 8136894486 P, O1 � I�...JaN111N81�N�A�N�AIN��I�II � 2Q1A000�49 Rapt: 157?b:31 Rec: t7t.9U DS: 371.1111 1'1': 11.UU Q1/02/lA �sanoorainu p�M�pdBepllritio: rnL�A S.o'hlE�,��h.G.P�Sr,r_��iq�;c rnh�I i;:q.i.tk .Qo7��''��9' 01/02/10 w:31 u� 1 nt '2 11�� OR aK 8977 Y6 �7�� 8a�rdm,F�odd�►s9s11�4731 ppep�ellwpber;1119046 � �1�.�0�� If�i.W►12RAiN'Y'Y.DF.N'�� CO[JN'L'X OF i9AL.T Ll�iKS ) . �CO�°�0 s�� ) '1�II�SNPr]BSr m�e f6�!7��►7�D�•2013.bQwaon Deursehe Bu►t Netionol'lyuet Canpm�!Y.�. LomlYVee?,0�6dh sa��&��0°°�°d°°d°°`�'�b'mda'lheluvreofQie 'p�eteeEaeLmBBaohM� esltL�keCi�'.tJtal► 84114,paeyoffl�eFir�Psrka�d Udb�d Bt�,wl+ae m�llln6�L:3115 8a��vaet tiamPld g�eat, ,�vhaw me11iu6�dr�ia: PU Jareph 7.(�eae • ied Hmc L9395.71ma�,M.39bA9�p�rRtla oR�a�eoond pQ4 � . � �Tx�ss�: I�k1t p�t,y��o[mdan ooa�da�dm otthe�t 4tPI�Y��d0�&no oeah(SS3,000.00) wid other vsluabin . c�dm�,pcdptvrbKSOEb h4'�Y�doea fiaebY�wt.b�r�d�.ad6 eilae,rosoieem�xelaeea.oanvev�and h�lh�eh'hahe imd e�rgnn,db follo�vu�g daaonbed P�P�Y.to wJt lu the Cro¢ity�,Ba�ta uf �msvdo�eeamdplu�dPeetNe, . FlaAda: ' ' Lot 1?,$A�($.B:RANCH�UADIVL9IUN�ag 1'�er p1��reooxded in Plat Book 56, pkge 124,a�f the Pabli'o Itaaotde of l�aeco Couot9�� r�tm: i�-xi-oi�aooaoao�zo sabJ��aoMSVar,m.0�4 aa�atdom��aiedcme.re�e�tl°°°.��0°�'naia'oaa w aa epP�10 nonms�eoo9 �udlax�lo�ane��°�oeedl�Oovecm��r•�"aY. TOi��'1R�wiBt ali�bmaneote,hecad�►��.�rne�o bdonSiaB or in anYwlse�ng• '1'O A/1VS AND'�O�LA du�eme ia#�e aunpk fa�wer• �1.� �,.• '_- 1Vi�►oid P�►Y�16e eucaad P�e��t.,f�,.�t it ia lawW1�1'aebFd of suid lend iu fw� l�p�0�0�rr��R�F7��LOIIYO��i�f��°"��ryi Ib0 tivC AO 661d�11IId IIIK� .l�IC�1it 1t�6�� OP 41de�the pll[ty Of due�s[QO[t. �VW dO�OdthlD e�0�t�e 1�nlbd C�amu 0�d1 peteo�ddmm6 bY�� neeo-evsoed a'.o.nq'nw�►^c�° JAN-07-2014 TUE 12�04 PM Genesis Title FAX N0, 8136894486 P. 03 -^.: 14..rJ�N11��I��n��A�N��li11�1 • ?AINOOQ427 Ropt: 157Z709 Raa: 111.00 DS: Q.70, IT: O.OQ 01;/02/14 eROPOrdifW pAL�A S.O'I�L,Ph.D.PASCO CL�2K A COMPTROLLER pi/01/14 12:0� � 1 0� 1 oR � B977 ps 32�IG � Geae�s T;tla coo�ny . 114Q Ky1e Wnod I,�►e B�andw,Fiorids 33531-4731 paral�ID No:14-26-21-0170-00000-0120 Q'lYl�Cl�ltn DECI� Made this December 31,2013 A.D.by Ja�h J.Craee+P.O Box 89395,Tempa,Plorida 33689 bereioa�ca1Md'tL° �rantur,m County�ropsrty Mawag�eat,L,tiC,��Fbrl��I.imited LiublUty Comp��y whose post offxxs�s is:P.O Box B9395,1�pe,Florida 33689 here�rr'aalled the�r�t°°: (iVhene�e�uad b�Ihe pmn,penw�•end•�peee�inaluds dl tl+e putiu�ro t��inetnrmmt mA tAe heire�bd�M �ya p�p.uips af in'd�vidu��d�6e suca�so�s�nd�saiDl�oEcerpnr�oa�) .' Witnee�etL, d�at tbo�antor.�r Aud in ooqsideration a�tha a�of�10A0 �all tba n'ght,tide,fnter�k� claimt. whereoPis l�ereby aak'nowledged,d�e b°�°bi'�°1B0'�0�°'��claim mroo the�a�e ana aemana whicl►the aaia anmta'nAa in aua to,all amt cerlaia 1ma sipnte iu ra+ao cwmtr.F�i�a viz: Lot 12,fiAGLE RANCH SLJBDMSION,as per plat lhereaf,�°��P�BOOk 56,Page 124,of the Public Recoz�ls of Fasco CountY,Florida. To�e�er wuh ell tbe tenemonts,�B°d°�PP��dt°r°t°�'�°B or m atiywme appa�in�& with all uud sipguha'�e APpurteu�ces�nto belon�wg or in anywise To HI[v'e Aad to Hold, tha eame to&ed�n' and alaim whefisocver of the aaid B�anDor�eifher in law ot eqoitY.to t6c �emd sll dro esteu.tighA t�,mtexest.l'+en,eq�Y only proper use,bene5t md b�►oof afthe said�tee foreva• the and yeer 5rst above written. Tn�Vi tLa wid gr�or hsa sigqed and l�tbose preseAts �Y Signed seale deli ed in our prese�ce: � ' ------' r �� ee� w',� I:ON 4'L•LLES r„"�a .r.oeo,c •�n•. � . , ftitne�s� Name_"?�',r��r _��,��L.� Staos of Flo' a � OrnuQy af betfo�e me this�ber 31.2013.bY Jo J.Csrace,w!m is p�rso�3' 1moVVn t01rie 'The fdregomg inshument�ed� or�vLo has prodt�ed NoUuY P�I� � Priatl3�ni� . . , Nppry pulAo•BfNe ol Rrldo My Cm�isfion �P�-�P�� . Cummis�bn#D�9iQ911 ' � IIa�Qe�7wo�'NMIo�NoWrll� � ;" . I ' I I I Qait qdm Dxd JAN-07-2014 TUE 12;04 PM Genesis Title FAX N0, 8136894486 P, 02 ._.,�_��.._... ..,._.��.._. � , , ,... ....,, . _ . .. ...1 � ' I • I II1 WI1'NBSS�VF�R80F��rst PariY baa aigaed wd realed ffieae proeant dx daroa set farth above• . I Si�aed,�ealad and delivaed. � Deutaa�e Sedc Nat[anal Trase Co�paaY.��0°�� I in�tbe p�aprx ofi Hq�h 2006-6 . (� � $r G:;^ � �7 3 1 � e n Docu t on I Icer � andeAi n,R�O Closer noc.coa�o�`�0t°0t��0&��' � ' �� A�Ooaa�y�in-Fact , 3815 9w TauP�O S�+'�et,�I.aka C�''L7� 8M1114 ...�$`l` I, Q�►iatey ��. •;��, m , oser QJ�j��p�r� ,�� Print alt�es n M'' 1989�•:�l . � � �y ' ,s�. .. • :� sta�af 1Utxh � �,,:•A , CouaLY of 8att Lolca ��,��beibre me tltia l��daY of Dec�nbor.Z013,by •�/l'AN FdIG N son, xu111 � ,ea»oc.Control OSica�'of Salect r�1to 3orvidu&1f��,ea t�emmey�Jn-Fact Lor Deatache Sa�kNatiwst lkuet ComPa4Y.s9'1}u:tee for Lou6 geuuch Moctgpge Loea Trust 20066.who ia pereonsllY]ma►vu to me or who hae Produced vsiid driva�'e licenee aa id�tiScatioa I . I No�r • J �k*s dlsL.EE METTERS i p��p�N�p NutoryPublie StaleofUfah I � icsion Expiros�: t ��y GoM�+ �016 /,prit 15. MyCo�17se10IIE7Cp$es: `�-l5-d� ' Comm.Number:65M89 � NOtary SOat � , � � � � � , PBEA-Speeiai W��-�0�° � iiiiii iiiii iiiii iiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iii , ' 2014001136 Parcel ID No �'((/ 2� _� O �� I��OLZ� Permit No. NOTICE OF COMMENCEMENT State of �� v � Counfy of ��S`�'� THE UNDERSIGNED hereby gives notiCe that improvement will be made to certain real property, and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement:,,l� Lr^�� F�� s� F �?� i2l�� O'� � �, Description of Property: Parcel Identification No. 3 � Street Address: 3�r ��'t�f��l N�" f�� / � Z'��r[��`��u�i � �� S� � P '�,r� ��C�.�. � f S�IIJ� S�`�l U•1� 2. General Description of Im rovement 3, Owner Information or Lessee information if the Lessee contracted for the improvement: � ,�.� ��<�u �'V� ��"/�.Qn��- `�—P Name �� sr ��L�ia >7�+� ( �\� �l� �O K City State Address Interest in PropeRy: O1-L�'e� Rcpt:1573059 Rec: 10.00 DS: 0.00 IT: 0.00 Name of Fee Simple Titleholder: �f'� 01/03/14 K. Kraengel , Dpty Clerk (If different from.Owner listed above) ,p City State Address rJ_-��l�su-l.-S l��Od"iP1�T � Lt�Q"E'��L��O�I.I,I'� ��- 4. Contractor: D�C� Name �-�2 � �3S4—�/• - j�1l O S� �� City . State Address �7 �_ B�CL Contractor's Telephone No.: P� �3� ! PAULR S.0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER 010R BK �� 1PG�f 14�� 5, Surety: � Name IU City State Address ' Teiephone No.: Amount of Bond: $ g, Lender: � � �,Q. Name � � City State Address / Lender's Telephone No.: 7, Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name � � City State Address Telephone Number of Designated Person: of g. In addition to himself,the owner designates 7�'r..�- to receive a copy of the Lienor's Notice as provided in, r-Se�ction 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: �-+ [�t-'� g. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the conlractor,but will be one year from the date of recording unless a different date is specified): ' WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT RESULONNIDEOR�ERDPAYIN�GPTWICEY OR IMPROVEMENTSPTORYOURPPROPERT`(.TIONNOTICE OF�COMMENCEMENT MUDST 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. lJnder penalty of perjury, I declare that i have read the foregoing notice commencem nt and that the facts stated therein are true to the best of my knowledge and belief. �'1 < STATE OF FLORIDA COUNTY OF PASCO Signa e of Owner or Lessee,or Owner's or Lessee's Authorized Offic r/DirectorlPartnerlManager /�1- s t'�,��- Signatory's TitlelOffice /� �7�Go!.t �(O CF The foregoing instrument was acknowledged before me this�day of We�,20��,by,_ as M_A✓1��Q 7"�fir� (type of authority,e.g.,o�cer,trustee, attorney in fact)for ��l ,,, Q Q�� L LC (nam n b f of whom instrument was executed). ��rr Personally Known�OR Produced Identification❑ Notary Signat Type of Identification Produced Name(Print) ��1 w� ��,+ ,� �Ya�e�►cH � Notary Public,State o1 Florida Commission�FF i4288 My cflmm. expires May 6, 2p�7 wpd atalbcs/n oticecom me ncement_p c053048 � gl%�'H/J�, �`,�l��'� 'a�' ��i;��A, �:�`a��'�T`�'rJF' Q�:��C�� ,ye ° ��, I�' ` .,_ � � :.. �� V—i A�I� ri i�: rl.,��'�;=JJ�.��.,� J t�, T ;� �,: �.1 F !" � �) t � � 4 t ��v�..�' i`�i= �.�`1 .��n�I�..3� �'� . �W �i._i_ . .. _.._ '..,,. �. `:� 1��v� � � ,y ��i�il�li� i ' _,,-, �:� ��r„ , a,i `�� . _ �"�A . � �4C!� � \ � .. ��J 6 .a ,. � ac� �; }. ` ItU ' C�'.�.. � n �vt.s� .�, �.1.'I , . � .i . _ ,�_. ..✓ �� _:{_, r;.. ��i�J��- . d , � 4 . . ." � ? �� .r ' �e..�° •<�_��!�',_ � ` �. ,, � ,� �� .t �,hq,,,� � I ; i �� .� . ._ , , , _.._ � _.... - Y�a '�.