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HomeMy WebLinkAbout14-15016 CITY OF ZEPHYRHILLS 5335-8TH STREET . � (sis)�so-oo20 1 16 BUILDING PERMIT Permit Number: 15016 Address: 37625 NEUKOM AVE LOT 151 Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: MOBILE HOME PARK Lot(s): Block: Section: Square Feet: Subdivision: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0010-02800-1510 Improv. Cost: 7,200.00 Date Issued: 3/03/2014 Name: MARTIN EUGENE & NANCY Total Fees: 112.50 Address: 37625 NEUKOM AVE LOT 151 Amount Paid: 112.50 ZEPHYRHILLS, FL. 33542 Date Paid: 3/03/2014 Phone: (813)780-2067 Work Desc: METAL REROOF .5 � � ; r � TAPE JOIN RO INS� FINAL REINSPECTlON 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 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 Codes and Ordinances. NO OCCUPANCY BEFO C.O. %�l • CONTRACTO SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 913-780-Q020 City of Zephyrhills Permit Application Fax-813-7B0-0021 Building Department Date Received � -a�-� Phone Contact for Permittin O �,7 g3 3 __ '?7�,p Owner's Name �tl �Gn e Q-I�T/ Owner Phone Number O � �70�"o��j Owner's Address J�{p�o�-S �O M i/ Owner Phone Number � Fee Simple Titleholder Name —� Owner Phone Number � —� Fee Simple Titleholder Address JOB ADDRESS d� C,iJ�O►'►�1 lt(f' �. LOT# �-�� SUBDIVISION /�Q.���pr! PARCEL ID# �7'" �S'oZ I-V��O-Q�-!�S/b � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q � DEMOLISH INSTALL REPAIR PROP08ED USE Q SFR Q COMM C� OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK ROOG Q�/Lv/ �!j.� (� ��� �ju�.�'��j ��� �j BUILDING 31ZE � SQ FOOTAGE JUOU HEIGHT �� QBUILDING $ �n ,,�,� VALUATION OF TOTAL CONSTRUCTION dw QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� � � � QGAS � ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � ELECTRICIAN COMPANY SIGNATURE REcis�Reo 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 �rt l�'- �/'O�✓n /N-t' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address 7 al ( S , � �3�(� License# ��Qy�37� 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 FaGlities&1 dumpster;Site Wo�lc Permit for subdivisionsAarge 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 Ptans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "'"PROPERTY SURVEY required for all NEW constructfon. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) *" 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 (Front of AppBcation Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � �'sS`�-��;� �. �� � City of Zephyrhills BUILDING PLA'� REVIEW COMMENTS Contractor/Homeowner: ��' �.� ��C;;�,�j.i ,' �� Date Received: 2 —Z�-� � Site: _ � �� �� /�t'�� �i-i �t�r2 Permit Type: /1�1�� Approved w/no comments: Approved w/the below comments: O Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. �a-�� ' FEB 2 6 �y Kalvin Switzer—Plans xaminer Date Contractor and/or Homeowner (Required when comments are present) oA*s r��� • ��� • s � � � � TRIPLE CROWN ROOFING Il�C. 37625 STATE ROAD 54 ZEPHYRHILLS,FL 33542 � - 813-833-7720 STATE LICENSE CCC049370 SPECIALIZING INALL TYPES OF METAL ROOF SYSTEMS We hereby submit specification and work description: NAME `` ) PHONE DATE t.....��' ta F'}t. � O 1 Lx v 'r' r �/ j�I"� / i� r i � " y, i� :.t` � ... r � STREET` CiTY STATE Z�P tr ,r �' ". �;�-- �t f✓q, �: ��° .j� i � ����y �,�� (J. �s SALESMAN ;;.��7 A ; <_ . n �) l j ) t._`` , '' ,l,i , { :�' �l� ��c,i-��.� ��.; :� �- ��r t: Y� ( ! . � d ( ; - '��— �t : ��r�" ;�: r, ;� �-� ,.3 ,�,,�. j ; ,,�!�,�, i./il , : �' + �% ;C`l.i, _ r - _ . � - f ;`�rt �` !'j � � � ,� ;��. f. _i i :� / �'� � t-'��� ��'�"� . _. .�... �E , � �.� e�����. ,' '` %',..��'�.'� t�.l.� _ , _ _ . r�; ', ?,,� .: i �'..t ;`;1 �..t �'' t i'' /�'�f� : , f 1 � l�', %t �`� � �J L. :'l ,,' .'s , . . . '� , � _ .. ; p , � _ � ��, � � �� � ` �'�� . _ � .. � � r p.� 1 "` ' ,. , ' !' : . C . � � h !,C... j � � t� f �.1�jF4. � �` �/ ��- 1 l�._e �'' 'c- � r _. , .. , . , , ` <� � �' f ' -" _ ; � /� � f� r �. ...r �� :J. �t� ( F. � fC ti, �_ .,. , : ` vc` , ,' t'�., � _ � +'.�t i� _ �� i ,. i� � � 1. w..� ;' !'�! /� , F_1 lr� .. _ ,�"L.�i�*-'a''��_ . i �; d""� ,. "�` ��(_.� ` � ,,,� � � f m �Y�_�,�� � ,__ �, _ _ --�) / / , ��r'�N'�:,�a<��, �.;.3 r+._'f; f= ,' '.!,-i? ��C�����?r� ��:�C.�C'� ,cJ�,, __�F er ;;,�f, f` . THE ABOVE DESCRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF ($ `7�Z UC? ). PAYMENT TO BE MADE AS FOLLOWS:$ 3 6 C d AS DOWN PAYMENT BALANCE OF$ `'.r'nL?� DUE UPON COMPLETION. ***ANY ROTTED WOOD DISCOVERED WILL BE AN EXTRA CHARGE AT A COST OF$ "``�'���� PER 1/2"SHEET OF PLYWOOD$ --�-�Lin. Ft. Lumber. NO ORAL AGREEMENTS HAVE BEEN GIVEN OR ACCEPTED. THIS WRITTEN CONTRACT IS THE ENTIRE AGREEMENT COVERING ALL THE WORK TO BE PERFORMED AND/OR MATERIALS TO BE FURNISHED. THE WRITTEN PORTION ABOVE IS THE ENTIRE CONSIDERATION FOR THE AMOUNT OF THE CONTRACT. PURCHASER MAY CANCEL THIS CONTRACT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE PURCHASE�,��,ED THIS CONTRACT. ��,�, :� �,�<<;�-�:.���� ,-���- _;'�- ��� ���� �r'-..'"� � .;�� - ;r�,-�r,f IT IS AGREED: Contractor will do all said work in a good and workmanlike manner and in strict accordance with the ordinances, rules and requirements of the city, Town or Vil►age, wherein the above mentioned property is located. If purchaser should cancel this contact after time stated above,the Purchaser agrees to forfeit down payment paid. In the event it becomes necessary for Contractor to employ an attorney to coliect any sums due the Contractor pursuant to this contract, then the Purchaser shall pay all reasonable attorney's fees incurred by the Contractor. This contract shall not be binding upon Contractor until accepted by them. Upon such acceptance by said company, this contract shall be binding on me/us without any further notification to melus. The undersigned property owner agrees that this contract may be assigned for the performance of the work and labor required by the description of the work to be performed. Upon assigned the parties hereto consent to the performance of the work by and payment to such assignee of the amount of this contract. Any Alteration or deviation from above specifications involving e�ra costs will be executed only upon written orders and will become an extra charge over and above the stated contract amount. NOTICE TO THE BUYER : (1) Do not sign this contract before you read it or if it contains any blank spaces. (2) You are entitled to an exact copy of the contract you sign. (3) Under the law you have the right to pay off in advance the fuli amount due and under certain circumstances to obtain a partial refund of the time charge. Owner acknowledges receipt of a true copy of this CONTRACT. �, �. r.p.----� , �`` '���L�..., �� � � i::c�L�'� � __ '� � ..r , . �." ` � '' , i ,PURCHASER DATE �''��� .�. -'`� ,� � � �.l.vi iYj _ ...�'` .� ' �� � BY:Triple Crown R ofing, Inc. DATE PURCHASER D�, This contract is enforceable only when accepted by management of Triple Crown Roof ng,Inc. « . _ !-�`_ _ =_ _�, _ - --- ► __ __ � =_ ���� -�__�_ , __ f _ i � � Force Engi��eerin� &Testing Inc. I, � L� 1)530 Ramblewuud Drive L� Humblc,TX 77338 Product Evaluation Report GUtF COAST SUPPLY& MANUFACTUR/NG, LLC. 29 Ga. Tuff Rib Roof Panel over 1x4 Wood Purlins� Florida Product Approval # 11651.27 R1 Florida Building Code 2010 Per Rule 9N-3 Method:1—D .�1�i ���v�'tji>t\.�)r.�`���1 ; �vl,S3 �.,� �Y'4�E li,��,i Category:Roofing �:t;.V."��LI�(;C':,��f�,i�1�I�;1),1 f3L'![.f)?"��:i Subcategory:Metal Roofing CQDi;,�ti,i'l�.i;\.=�i l,_i:t���{,'�`()1��,Ai�ti� Compliance Method:9N-3.005(1)(d) ��;�T�'f jF�L j�`;;,,�s i j.����.����1;1�CtS NQN HVHZ Produd Manufacturer: GULF COAST SUPPLY&MANUFACTURING,LLC. 4020 S.W.449"'Street Horseshoe Beach,Florida 32648 Eneineer Evaluator: �E�I��r���.� FEe � 6 9 Terrence E.Wolfe,P.E.#44923 �J'����y�� •— _. [���j Florida Evaluation ANE ID:1920 ����S ����({ � ::� Validator � ;.���y,��� ���.� 'v� .. �. Locke Bowden,P.E.,FL#49704 9450 Alysbury Place Montgomery,AL 36117 Contents: EvaluationReport Pages 1-4 ,���/�t�lf���,t ��`,��'C E� �'� J,�l ..��Q:� � C E Iy S �� �i� - ��. �No.4�9��fi � � � :Jy. • � .' r £' r. ^� F • � �� ,,r�.�I '.fi. (R p-_.. �r__ .. �yE �.- �--. — . — V � '°' STA7l!C►F :a 1' r ?��, . ���e:.�� ORS. pp' •�+t''`,� �� ����s,;. . � .��1�`� ,,��0 r�t�t�*,,` FL#11651.2� Ri February 22, 2012 ' _-�i _�- - -� _., _� � �.,,. ",. � -�- �_�- . � - . ��_ --- .r' _-.�_.� �-�'.� �� ��' i .� -�_._�, � t � Force Engineering&Testing Ine. �� � i � `— 19530 Rambleu•ood Drive �-� Humble,TX 77338 Compliance Statement: The product as described in this report has demonstrated compliance with the Florida Building Code 2010,Sections 1504.3.2,1504.7. Product Description: Tuff Rib, %" Rib Roof Panel, Min. 29 Ga. Steel, 36" Wide, through fastened roof panel over 1x4 wood purlins over one layer of asphalt shingles (optional) over min.7/16"OSB or 15/32"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 Florida Building Code 2010,Section 1507.4.3. Panel Dimension{s): Thickness: 0.014" min. W idth: 36" Rib Height: '/<"major rib at 9"O.C. Panel Rollformer: MRS Metal 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 1x4 wood purlins shall be fastened to the woad rafters(24"O.C. Max)with (2)9 x 2'/:"Deck Screws per rafter(Minimum 1 7/8"embedment into wood rafter). Design of lx4 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�• FastenerSpacing: 24"O.C. *Design Pressure includes a Safety Factor=2.0. `,''f{�11!/11/��I ���� ��•�E' �•wp ��i ♦ � . Q:.� � CENSF�,��� `:,��'• '.4►i y ; ;,,. • . , � � ,,,�r�.� . � �y • • • • „, r . �' .-t. . ._. � �1'��� ff, � i *._-_ .. ... ,'k' -F . �_- �, ��--, - � � � � '°' STATE Of :a�,; i �', � s�w arr,.as :���;F� O R 1 �4';��;.` i� ���s'/' • . . . •-'�V �� �� �NAL � �� ���f1/Ilf{►��1 FL#11651.2�R� February 22, 2012 , � __--�- -__ - -- - . _ ,_ ,_ -- ;- �- - — - � --- --_ _—- - �_ _ _ ,_ 1 ---- i`�_ _- �� + ' -' - —a � ; i , ; � , ; i � � �orce Engineering &Testing Inc. ; ; �-� 1)530 Ramblrwuod Drive `� Humble,TX 77338 Code Compliante: The produd described herein has demonstrated compliance with The Fiorida Building Code 2010,Section 1504.3.2,1504.7. Evaluation Report Scope: 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. Performance Standards: The product described herein has demonstrated compliance with: ■ UL 580-06-Test for Uplift Resistance of Roof Assemblies ■ UL 1897-04-Uplift Test for Roof Covering Systems ■ FM 4471,Section 5.4-Foot Traffic Resistance Tes1: Reference Data: 1. UL 580-94/1897-98 Uplift Test Force Engineering&Testing,Inc.(FBC Organization#TST-5328) Report No.117-00407T-09,Dated 11/16/09 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.44423)@ Force Engineering&Testing,Inc. (FBC Organization#ANE ID:1920) Test Standard 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. Quality Assurance 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 Building Code 201Q Section 1507.4.5. ,,��t►S1![t1fl ���`*��'C E� �'�O ��� ;��� tCE �►5��,�: ��. ^. •,t�`! ` !r I, , , 't {,,,�i . V ,17 � NO.��4F,.7 � *, � F � , �*4� � F *.� _ _ �*'rr� - �`'."w _` , ,. f^'' STATE OR :a�; . �+', � ���: FL t3 R 1 �4' �t`'/�� �� '�,�S�- . . •�(s�'�` 't��O�111�►,�`, FL#11651.2�R� February 22, 2012 . � _. —r----_, _ ,- -_ -- = -� ��- __— _,- __ -,__ - _ __- _-_ � _ --- �� "; - " � � 1 "'�--_�-�_',T,� � ;� � i � Force Engineering &Testing Inc. ��, � `- 19530 Ramble�t uod Drivc �� Humblc,TX 77338 Roof Panel Fire Classification: Fire classification is not part of this acceptance. Shear Diaphragm: Shear diaphragm values are outside the scope ofthis report. Design Procedure: Based on the dimensions ofthe 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 Fiorida Building Code 2010 Chapter 22 for steel,Chapter 23 for wood and Chapter 16 for structural loading. ,�����ti�tt���f� ♦`�r�!�•�E' �•h' ���i :��Q'L � C E IV t 4� �: F �� - � �• Na.44D�'� ,r ' SI � � � %� E � .� f _. .. ,* _ _ !`'.;*x',�..��,�'�"U��A�?-' *� ; � V '" 'O' STAI'E dF :a�'. : P', � ����;F� 4RIpA;��;: �� ���S�' • . . . .-'�V �� FL# 11651.27 Rl Februaryj��,�20�2 .29 ga.r�rinrrnurtt�tA'f�b."s6"iNitte ovr�r 7 x�Woicv Far,rtins�_.._. ; TUFF-RIB EXPOSED FaSTENER SYSTEN! � � ' ��c�.c. �._......_._.._._�.�_.__._.._.____ . ......_.__--- . rvotw�rv ,� , � at��ov�r�acE __..._._....._.._. �3 �r_ . ..,.�......... ..:.... ..._..,.._.__... ` ; �_ .._...g�._....._._�.,.;�.�_.__....__�g� , . , i _".�.____ ___9" _,__.}.�..,_�..._.._9`----- . _._s; : < ''.�.�.�-..__ � ��.1 : � ; � � �-`�--^-----�ti .�.,._. �,:� , ; � � � �,_-r___ : ° TYP� � ''�-is x�,�°�vt�o, sc�Ew i ' TYPlCA�,�ASI"ENER PA�7`ERN wn+v�st��R � , �'' ; t ' _'f x 14-718 LAP TEK ,�"' _ � ,. ,�,:u�f:, -�,,.-, � __ij WI1NA51-lEFt 24".O.C,AWO - . . � `'�CC�ITINIlOt13 TAPE SEAL • i � REQUfREQ IF E.ESS TH�1N E `• . ' $!t2 PtT�H F 1 : � „ t ; ;<_2vz -�1-- _....5yz --� �,ez _. _. , , „_...._ a . � ; ; ) ���t- s�� ` z�,�j►;�-------sy __ � ; t � �," _�e_2'h�a,°a-_..__ .,����_.....- �:e�vx^.�; i � ; , 1_._.._. � � + -.___... : � �"�`-p'�i-�---''-�._._.._._.. � i � x � � ; TYPE 2 ' - ' � �.ia+se�;,ap j � v,,a<���';��:�q,�yAr� FASTENER PAT�'ERlV � PANEL ENfl$� LAPS „�'Q�`-'`�,GEAt� «y,3 t� ' i ;ma d�� b �G i `�� dA�s y?� : � � � �Q.�$�$}� � � ! , �tSp'a `:i� � �n�� I ; '�`� �E '�.o�� �!f� i � � "'' �".•r'aCz�['C�� $`a _,,,�'"� j�., �t . . ='�--� � ;� �, '� , GULF COAST SUP.�l.Y& ;� �°ae�i�l.�;�'�� �' �. �. ----�--.,ti_.�.__, r` �024 SW�4�� ��G., tNC. � ;�,nA.rs� ' '�TR�E7 `r �E�_ �_!� �Q Ht�RS�SHOE B�'A1H, �L32B�18 � � ._ .. _.__ .��_._.__.__�____...__...._.____._._._...__.__..__..._.._.__,__.._,..._....---._,.....__._..W.._______ �$&�9:.�•G335 ` S/H IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIII 20140316s2 PermitNo. ParoeIIDNo 3y-a.s a►��gd'u.�v� �s/� NOTICE OF COMMENCEMENT 5tate ot ��el 0� CouMy ot rlT�C�/ THE UNDERSIONED hereby pivea notice that improvement wi6 be mede to cerlain red praperty,and in accadance wNh Chapter 713,Flaida StaWtes, tl+e fdlowinp info�metlon ie prorided in 1Ms Notiee of Gcrt�meneement t. Descriptlon of Properly: Parcel Identl6caUon No.� �f�fi29/!S A�sc D,u� R33y AssS�t-roa rorisie�e7��8ao8 StreetAddreea: .77�oV � ���.Dirr /�✓t Zte�1r./�i/�s �Z `�35�// 2. General Deadiption oi Improvemerrt �G� �dJ �tf Q+h C'G 3. Owner Infortnation a Lessee infarms0on i(the Lessee contreded twthe Improvement: ,E'ur,�.,e a� A�4�v�y /yl�i2ri.(/ / � ��Q'7� N���LfJ/«y �'✓� � 2�0/Zy�h��l/ �L 33�7� Address�T Ciry State Interast In PropeAy: ��� Neme oT Fee&mple TNeholder: N!�` (If different fram Owner isted above) CHy Steta 4, or: �/p O�il/ L Nam � � GrpZH��J:[ 1 � .��`T� AdNess �/J O 7�'�77�v C� Sfate Contractor's�elephone TJo.: 5. Surety: Neme .__ _ . . Rept:1388394 Rer. 10.00 �te Addreas O5: 0.00 IT: 0.00 AmountotBond: S 3/03/l4 D. Bontlla, ppEy Clt�k e. Lender: Name _. . _. . _ PRULR 5.0'NEIL,Ph.D.PR5C0 GLERK L COMPTROLLER � Address 03/03/14 8'S 1 of 1 Stata ��( * Lender'e Telephone No.: f+r- OR BK �0�� PG 1316 G� � ' * 7. Persons within Uie Sfata of Floride desipnated by ttie owner upon whom notices or other dowments may be served as provided by ''�� a' tt d Seetion 713.13(1)(a)(7),Flodda Statutee: �'�� � ��� � Name �•• h ��'_� � • iL � 'io 1L �. . •. • 0 Adhess �Y �te ? • � , �I Telepl�one Number of Designated Persan: � "' � Q' 8. In additlon to himself,the owner dealgnetea � ��- - �� • g� to receive a copy of the Lienor's Notfee as provided In Secllon 713.13(1)(b),Fbrlda 3taWtes. 'hs • � Telephone Number of Person or Fstity Destgneted by O�xier: * •* 9. Expiretion date of Notice oi Commencement(the expiration date may not 6e 6etae 1he complMion ot construclion and linal payment to the contrador,bul wUl be ona year from fhe data oi racording uNeu a dlrtuent date ie epecl6ed): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE E�IRATION OF THE NOTiCE OF COMMEI�EMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART 1 SECTION 713. 3 FLORIDA STATUTES AND CAN ' ��— L!J _ Y RLSUL'�1N VBUR 1�ANiN�O TVAI�E x01311�R8VEl�Nt�7b YBUyt�t�'�73'N. A Ni�11��'�F �t�1�lENCEb1EN�' MUST BE �Z C� - RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST IN3PECTION. IF YOU INTEND TO OBTAIN FINANGN(i,CONSULT �—t�}� � �� w WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOROING YOUR NOTICE OF COMMENCEMENT. � ��!L J U Q2 ,�,'7 Under penMly of perjury,I dedare thet 1 have read the ing notice of eommencement and lhat the facta statad thereln are true to the best Q�V� J �/O � of my knowledge and bdleL �'j— �y a ��'r-�- c� � a STATE OF FLORIDA � O��� � a w COUNTY OF PASCO � _— J r` � � Signah� r ue ;or �'s or Leacee'e Aulhorized } � (-- Q Q � O � Oflled/ a anager Z=Q O� � U �I—} Uti, �«3 Signatoyc T e/0 oe �F— � �O Y c� ao�o �� � The faegoing instrumeM wes aclmowledped betore me thl day o(�,20�,by �U 4 e�2 �Q�1�!1 � U(� Z w as O �)!Lo r (rype at autha�ily,e.p.,oMcer.truetee,attomey in fad)la ('� V�Q � U i �(�M�2 c�a�9(�o c-`{-� (name of party on b ot who ins vns exewte�. �� � Q Z O J J Peraoneiy Known�9$Produced IdentlficaUon"� Notary SignaWre , O�O O p Z Type ot Idenfification Produced ���.� Name(Rint) LL, �p O ,� Q W (!��J (� U� � .•;;:.�w.., LAURA KELOIE � ��� Z � � F- � �' `e-; Notary Public•State ol FloriAa (n ���� a } ?•� _ My Comm.Expires Aup 1,Y014 m %;�;� Commission M EE 13597 �'f°��^`���, Bonded ThrougA Natian�l Nohry Assn. . 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