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HomeMy WebLinkAbout14-15018 � CITY OF ZEPHYRHILLS 5335-8TH STREET �si3��so-oozo 15018 BUILDING PERMIT Permit Number: 15018 Address: 37748 NEUKOM AVE LOT 3 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: GRAND HORIZONS Est. Value: Parcel Number: 34-25-21-0090-00000-0030 Improv. Cost: 6,500.00 Date Issued: 3/03/2014 Name: BARTSCHT DALE & BEVERLY M Total Fees: 105.00 Address: 37748 NEUKOM AVE Amount Paid: 105.00 ZEPHYRHILLS FL 33541-9302 Date Paid: 3/03/2014 Phone: 813-782-1811 Work Desc: REROOF METAL 5. \� '. , TAPE JOINTS ROOF IN�P FINAL - 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 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. ' ` � CONTRACTO SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � ;�'s�`�'�'� ' � ���, ��� City of Zephyrhills BUILDING PLA'� REVIEW COMMENTS �- ���L� ►� � � � Contractor/Homeowner: �/ �C� C Date Received: 2���'"� � Site: J 77�� /4���p� �-� Permit Type: /'Ll� �G� 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. �c�.d.�,�, �-���:� � � � l�14 Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) a�s-�8o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received �-a,[.(,�� p'�3 �3 - 7�o�-U Phone Contact for Permittin Owner's Name i��� ��� tf T Owner Phone Number �� � �p�� �6 �� Owner's Address �7��� J� U G Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number � —� Fee Simple Titleholder Address JOB ADDRESS � �O ,vG�u��v�► /�'1�'�-� LOT# C� SUBDIVISION �/''� `-�/6'Z(�I � PARCEL ID# 3�O�-���''"�Q�w��`—�30 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER �— TYPE OF CON3TRUCTION Q BLOCK � FRAME � STEEL Q DESCRIPTION OF WORK 0� � tt/' f� � ����� ��� �pQ��a BUILDING SIZE 3Q FOOTAGE I�O HEIGHT �] OBUILDING $ ��oQ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �/� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� 1 � QGAS Q 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�Re� Y/ N FEE CURRE� Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N Address License# � MECHANICAL �,OMPANY SIGNATURE �►�ISTERED Y/ N FEE CURRE� Y/N Address �� License# � OTHER �����%y COMPANY /�� ^�(./Orr��i ��*�'L' SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N Address 7 r � / .� 33S License# ��-CD�g37d 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 FaGfltfes 8 1 dumpster;Site Work 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. Requ(red 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 construcdon. Directfons: Fill out application completely. Owner&Contractor sign back of applicaHon,notarized If over;2500,a Notice of Commencement is required. (A/C upgrades over 57500) *" 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 Application Only) Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW . ������i ������.� ��;���r `�¢ "�" � TRIPLE CROWN ROUFING INC. 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 ;r � PHONE DATE /��.f r T,,.•^'t-.lf�-�<_ i ;i �' � J ;(v,.,�-� - .7�"r f �'i;f�� ' , � Y' STREET CITY STATE ZIP �'' -. �. r ; � , a� * ^ ' _ , � � 4 ,��_ . � �- ���_ ; `� ✓�. � ;�t� r 6<<; ; r'_ f L_. _�, . SALESMAN i � ,�f,'"f , ,:'_-1...:'f'..�� /✓/�;�/r �r � , �� _ , � � - ,� _' /�! ` l._-; ' ,� �! ; �,,, � �,. �✓���.� , y.� r��� � � �', . �. . , ��/_��C,�'-. ,_ �. 1 � � p "' —f t. ' :s ,/ lf�> � �.- . . - J - c..� __�-"� __._ � . . : fi , .. ,� . . , , . .��,�' . ,� . �, _� � - :,�.l,�-�. f- .. �� ,,/`• ,,,�`'.;.,. . 'c� _.��?! .'�.-f� �-,;st..��f .'":�Lr�%'" - . . `s'� . „ � i , f, ";r�- �'��,,r.' ,, _. '� ._ �"y'.r�, "�:`, . �,� . , �: . . , . . , ..w. _ �r." , �. F ,�i , , � r -�, . '' : fFs'�' ,`i , ! _ /,,�� ,'// , � , J�, �, ;�'/. , r_ r.� , 1 , . , ; . , , j . . _ , r �� ,, � /t � f I� � : ,,�.�'j` ; dt �r ; r'�/'._ /C ��,:rf. :� ,!'c !'f�: .. ,1L,,,(r'��. , ., t i e'.. �.�yic'- . � � . -_ �. ,� , , ,� fr � - , ;_ �' � " � . . _ , , -,, �-•" . . ... %! . l� . . . F,. ,* . .. . .,f /i, r1' � . . . '/�'.. ' , � - � .. . . . , . ,j, THE ABO E DESCRIBED WORK WILL BE COMPLETED ACCORDING TO SPECIFICATIONS, FOR THE SUM OF ($ ). PAYMENT TO BE MADE AS FOLLOWS:$��_�AS DOWN PAYMENT BALANCE OF$ ��r§"'� 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 ANDIOR 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 PURCHASER SIGNED THIS CONTRACT. 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 Village, 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 collect 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 me/us. 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 extra 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 full 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�.�'��' �;�� �.�;.�'�'�- ,,,�`.,�f. � ;�`f PURCHASEFt DATE :��. ,�� �� r �, J' Y BY:Triple Crown Roofing, Inc. DATE PURCHASER DATE This contract is enforceable oniy when accepted by management of Triple Crown RooSng,Inc. --'�I` - _- � ___ -� -- _� -__ -"" ' � '-_��--__-_ , � - _ z ,--- __"- � , -'__ - ` r��_ - :� � -_ _ �- _�- i 4 1 i � t � t i � ,` Force Engineering &Testing Inc. ' '' '- 19530 Ramblr�vuod Drivc `-' Huirible,TX 77338 Product Evatuation Report GUtF COAST SUPPlY& MANUFACTURtNG, 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 Category:Roofing Subcategory:Metal Roofing Comptiance Method:9N-3.005(1)(d) ,6rT NON HVHZ . . , ,� . �' ..� ,_ � �(_!� � '�i:1 .i�.E`.vt .�li�� ���{�f ) ..)�I�i��4rp,r'~ ` • ..J Product Manufacturer: � ��t� `�.���' `.!F +.'1�:�:( �t'i)n� ���li� GULFCOASTSUPPLY&MANUFACTURING,LLC � ;'i !r�, � � , „_j;� ���;_ :��i_;��� �,s� 4020 S.W.449"'Street Horseshoe Beach,Florida 32648 Eneineer Evaluator: Terrence E.Wolfe,P.E.#44923 Florida Evaluation ANE ID:1920 �E������`'��_,. _ _.. � _ i� : � . �]TY C7;��_ Validator: 4p�����,���wti, Locke Bowden,P.E.,Fl#49704 - 9450 Alysbury Place Montgomery,AL 36117 Contents• Evaluation Report Pages 1-4 ,,,`i��t��i��r��i ���` ��•C E' �•�'p ��i i �,t q..V � CENSF �,��i �`^�• ��TT►�.p, �� � %- _��i � � • �� :.�• .^� � �f__.. � '� :t�( R �r-__. ;-;k ,- ; ,,,�„ t ,_ .. - �.' L."�r .A _ . ti ; �'O' STATE�F ;a.�' i�° ' � • ���:FLORI �g' �h'��� �� ��,;S`, . _ � �G1,,. '���Qrr����►���� FL#11651.2�Ri February 22, 2012 'T'- -' _,- �-- - ,_ — ► - --_ , __ '- - , - �_ - � � ' � � � � I 1 : � ,'� Force Enginee�i-ing &Testing Inc. �: 4 -� 1953d Ramblrwuud Drivc " Hu�Y�ble,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 lx4 wood purlins over one layer of asphalt shingles (optional) over min.7/16"OSB or 15/32"Plywood decking. Non-StructuraC 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 5ystems 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. lx4 No. 2 SYP wood purlins over maximum one layer of asphaft 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 lx4 wood purlins,05B, plywood and OSB/plywood supports are outside the scope of this evaluation. Must be designed in accordance w/Florida Building Code 2010. Design Uplik Pressures: Table"A" Maximum Total Uplift Design Pressure: 101.0 psf Fastener Pattern: 9"-9"-9"-9" fastener Spacing: 24"O.C. "Design Pressure includes a Safety Factor=2.0. ,,,��{fslllfil/�/ �.`' ft�•�E• �•�p '�, � Q:�1„ � C � NSt` �^`�i :,��. .�► . ,� '� . � No.41D,� �yi �_ fy, . ,. • , • r:i „ . , l. -,,,� _ � �� :� � *t___ _ .* ;. L:���k'.1'`'t_'_ . � � : �'°' STATE Of :a�' i �� F � � •,�" LoRI �'P► •�``.` sr„Arra„ ,�t"S•, .�'�,`�� r�c,n ,f����1�11�►���� FL#11651.27 Rl February 22, 2012 --.� —` `'� , -- —� � � — _� _ ; " /' �� ` -T%�, � I , I ; Force Engineering &Testing Inc. ��, ! `- 19530 Rambleu�uod Drice L_i Httrr�ble,TX 77338 Code Compliance: 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 System:s ■ FM 4471,Section 5.4-Foot Traffic Resistance Tesrt 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.44923)@ Force Engineering&Testing,Inc. (FBC Organization#ANE ID: 1920) Test Standard Equivalency: 1. The UL 580-94 test standard is equivalent to the UL 58Q-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 20]0,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 2010 Section 1507.4.5. ``��i��tiire�rr��i •��Q�,(�µ'�E� �'�'o ��ii :�' �, � � ENSF��"� r : '�' ra.��� ;~�� -;y, . . . � _� f _ t. ;^,� � E..__ ,, � R �t�_. .. ;# �.�� -��'"f'``��-'-� . — � � : �'6' STATE OF :a�' ip•' r++ • ♦ ;°�`�;.'¢L o R x ��' ��'; �� •,��s!, .�V�`, ����4 i���s►��`� FL#11651.2�Ri February 22, 2012 ___%r���___ _ ; _, -- ., ,- >> _ - - -- 1 � -- ;� ,- - � ,j� � -� � � j 1 � i '�� i � :' Force Engineering&Testing Inc. �` I � , ])530 Ramblewuod Drive Hurzible�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 fastene� 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 far structural loading. ,`+��i 111 f 11 I l��I ,�� �N.0 E, �, h, �� i� :,4,Q'��' � � E N S F' �'�`�% . �.' ._, •E►i,�r, _ � ;�j � , r. / ,,,�� ., . N4.4�9,rt3� l• 't�l E � . ;Lr � '�� yj� R *�`- - '_�*� - �.-�,��:��� �t_-'� � . .. ♦ �'6' STATE dF :a�' ',a F FL o R 1 '��' •��'�� �� '�,�s�- . . •,�cs�.` �i �NAL. � ��� ����ri <<�♦ FL# 11651.z�Ri February �L�, 2012 � , - __._ .. _.__.......___...._......� _.. _. 2J ga.r�xrri�nuin 7utP Ki6:�•Whte avnr T x a Worw Ft;rtins .�'"...___.. .._,_.._.."___...._...._._. . _ ' TUFF-Rt8 EXPQSED FASTENER SYSTEN4 ' € � � '...,........_..._----___.. . ..._._._ 3R"O.C. � __,....._..__._... ._ . �QMiNA ,� . t COVEF2AGE-_..__..�_._.._. . ...M. . ... _ ... ._..�._.__. ....�: '+ � �'� •---9"-----ri-._._.......___g„ ' - -9" . , �"-----►�----- _._..-----�}�--.._.,.�y ___.._ . --s; k ;—�_.--��_. � 1.,,s�__�_�____,_�A_� � �,:� , , , � � .�___._,--�__.____. , TYF'E 1 's-i�x�ra°�vao,s���Ew i :...__..r TYPICAL �AS1'�NER PATTERN wNv�st�F� � ( ; ... ; ? '.�X 14-T/8 CAP 1�1{ :y"a f:� - z �` W/W�151-lER 24".O.{:.AEfD ', �, . . , � ' �-C;ONTENEIOCIS 7APE SEAL ' i Ft�QUtRED 1F LESS THAN ; ' . ' 31t2 PITCH j � ; �s....2'/a'-y`t---.... t ,�_._.._ � ; , '5/z `-� �'!a"+�a_.... s .._.._._. , ' 5 � � i � 8/z 2lz"r,a--____ ,fi".— i __...,,�_2h•�>a._ .� _5a�z°_...._.�.��,�aw.�; � ' � � � J —--�f�....,�_ � a � i �..r ��'�$:1�. j{ i ' . ;��� � # �—-�—"_- 4 3 TYPE 2 � � v,��,�a#�;�a�,�,:-� �ASTEf�ER PATTERI� Q PANE� Et�lfl 8� LAPS , � �i:,. a,, �,a.;�.�.= '' �.� ����t�,'° t� , �'�'�i j •r �'��r9±,"v� 3�u�s st,� ; s' � � . 8�0. 8�?3� �� � i , M iv a � `����a � ; � �f f�F {r� ' �v��� •�',4�et�?�"�`� ,,�� J� r 1 . D<4• C?„ �b- � '�� �. ... 'Q4�� • .<<,.:���` -��--�1`��.-�.'l, _: .,:- GUL�COAST SEJP >f.Y& Wt�G ; _.t , fI�C. �''T.,aa��49;a '--'-' -•.,....�,_.,a �242�SW 4�4�t'��REET '� ��� _p_���� �oRs�sHo�e��,�, ��s�sa$ ' � _ - - ___ 12__.__._.___._...__..__._____._._ .____..._. ._.._.___r..._..._ ..___:_.,. ._.._..___�___. _.__$sa-3�`�.cs�� � . i1NIII�IIINIIIIIIIIIIIIIIIIIIIiIIIIIIIIINIIIIIIIJIIIIIII S/H 2014031661 PermR No. Parcd ID No _37�a���90��' � NOTICE OF COMMENCEMENT �t,o, �Loer�q P/�5co cw,My or THE UNDERSIONED hereby pivec notice that improvemerrt wiN be made to certefn real p►opuly,and in accadanu witl�Chapter 713,Florida Stehrtee, the foNowinpinfomroBon fs provided in this Notice ot G �/ 1. Deacriptlon of Property: Paroel Identification No._.�3/an ttonxws Fhas�p,lE,•a ay pbS 94-iao2 LoT.�AP 9y97-I�GBd/ StreetAddress: �LI�g A/���o,�., f�✓e Z�k.,ih'l/c G�,. 3355�/ 2. Generel Decaiption ailmprovemeM /1G—�CDOT PSi���p� 3. Owner InformaUon or Lesaee fnformetion if the Lesaee eontreded(a the improvement: �,eve//;, �ar�.���f ���� /V�ue�t9M /�uC ��t�l/`i,`H� ICL 3�5�� A ��ese C' Intereat in Property: DW�� �� Name of Fee S(mple Tilleholder: N�/9" {Ii dMerent hom Owner listed abova) ddress ���� City State •. w,aa�o�: Go.vh � .nr /,vc. � _QGt/��' �7.�'d 5''�. ��►�i�,��ii��S �'L. ,33-S�1� G �7 �' seae� Contractor's Telephone No.: ���b33—�/o1O 5. Surery: Name Address Rep{,:1588394 R�e: 10.00^ D5: 0.00 IT; 0,� state AmountotBond: S 3/03/14 0. Bon{lla, Qp{y Cle�k 6. �Lender. - — - Name PpULq S.O�NE1L,Ph.D.Pii5C0 CLERK L COMPTROLLER�, Addresa 03/03/14 8•8 1 of 1 OR BK �0�� P� 1315 state Lender'c Telephone No.: __. �`� � * 7. Peraone wflhin the State of Flo�ida designeted by 1he owner upon whom notices w olher documerds may be eerved as provided by Q,G • ' * SecUon 713.13(1}(a)(�,FloHda Statutes: Name G� � ,�' •' 6�- ��- d '•� ^ �C' Address V � ap � �h State o�p • � Tdephone Number af Designeted Perean: ?�� �� 8. In edditlon to himeelf,the owner deslpnates � of_ �t- � ' � to recefve a copy of the lfen s Notice ae provided in Sedion 713.13(7)(b),Florida StaWtea, -r • y~ Telephone Number of Peison or Entity Designated by Owner: � 9. F�cpiratlon date oT Notice oi Commencement(the axpiration date may not be before the completion of conatructlon and linal �S * •* � paymeM to the contrada,but wlll be one year from the date o(recadlnp uNess a diifaent data is cpecifie�: WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT AR�CO_SIpFRED IMPRGP�R PAYMENT$,u N4ER F1�WT�R713, PAIjT 1. SECTIgy�713.13 fLORI A STI�'j�ES AND CAN RESULT�YOUl2};AYINO T1MCE FOf�Ila�+FtaVEiIAE�$tb YOUi� FI�OP��tTY. A N�OTI� d� C�Ia�N�Ei�dLN'F b1U�T �� RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO 08TAIN FINANCINO,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDINO YOUR NOTICE OF COMMENCEMENT. Q � w Under en Y p ally of pery'ury,l dedere thet I have reed the faegoing notice of commmcement and thffi the fads stated therein ue We to C�e best �Z U .�, � � ot my knowledpe and bdlef. . Q !11� �J W STATE OF FLORIDA /-�!���� �z j O� � J U COUNTY OF PASCO ���'dl'l3� a�Q=q C�� � gnaLue oi er ateasee,or bwner's ortassea a i z a d Ofieer/D ir e e tod Pa r tr ia/Manaper �L W �— �1-1 �-- a O � �'z � a w 0 = — � � o ste�acoy�Tro�lom�e t'}'w°~�v � O 'a �- �,,`L 1 Z= p�p� �U The foregoing instrument was aclviowledged before me thla day oi � 20�by /� /�LI �W/��T ��F--} U �iS �� , ✓ � �� as (type ai authol ,e.p.,olflcer,trustee,attomey in fad)fw (�j Q�Q�' � Y � (nam of pa on behaN of w,hom instrumeM wec execute�. Q��U z W � Personally Known Q O�F Pioduced Idenbfication.� Notnry SignaLrre ,/- ' ✓ �� C}�� �(,J,) Type af IdenCOca6on Produced ��L Name(PHnt) � 1��., tr�a �� o�� a Q � —� i�.�`, ao} o? � n;� �snN►AESGu ,0�o p � Q "' � Mrca,�+���is�x z cn � � �•, �+'' eadeeihuNolayP�iA9e��tNdrwhn 3— � � _'� W Q R;, �� � � �z J vl2 H-- �O� a � wpdata/6cs/noticecommancement,�c053048 m