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Home My WebLink About14-15033 CITY OF ZEPHYRHILLS 5335-8TH STREET ' �si3)�so-oo20 1 5 BUILDING PERMIT Permit Number: 15033 Address: 6748 NORTHLAKE DR f 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: STEPHENS GLEN PHASE TWO Est. Value: Parcel Number: 03-26-21-0160-00000-0270 Improv. Cost: 8,310.15 Date Issued: 3/03/2014 Name: OWENS CHARLES D II &SCARLETTE L Total Fees: 80.00 Address: 6748 NORTHLAKE DR Amount Paid: 80.00 ZEPHYRHILLS FL 33542-0644 Date Paid: 3/03/2014 Phone: Work Desc: REROOF SHINGLE , V �v - (�'i�� « � � ; TAPE JOINTS RO F INSP � 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 fauity 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 f) 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 accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � ONTRAC R SI NATURE PERMIT OFFI R P RM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . �d�l'�`��, �� ,�j State of Florida License#CCC1326166 and # CBC058155 30427 Commerce Drive, San Antonio,FL 33576 Phone (813) 782-9080/Fax(352) 668-4803 /www.neumannroofs.com February 28, 2014 Owen's Residence 6748 Northlake Dr. Zephyrhills, FL 33542 RE: COMPARITIVE ESTIMATE —GAF Lifetime Timberline HD Roofing System, with upgraded System plus Warranty for Steep Slope Application. TOTAL ESTIMATE: $ 8,310.15 The scope of this estimate is to furnish labor, material, supervision, equipment, fees and other costs related to the completion of the subject property; specifications listed below: 1. Record Notice of Commencement and obtain all required permitting. 2. Tear-off existing roof system down to deck substrate and re-nail roof deck to meet State Of Florida Building Code. 3. Provide and install #301b premium felt underlayment. 4. Provide and install 6" new drip edge around entire perimeter, matching the existing face dimension. Color: White 5. Strike lines to ensure a uniform shingle installation. 6. Provide and install new GAF Pro-Starter Strip at drip edge system. 7. Provide and install new GAF Timberline HD Shingles with stain guard. Color: Birchwood 8. Provide and install GAF SeaI-A-Ridge Cap Shingles. 9. Provide and install new 16" valley metal in all valleys. 10. Provide and install new pipe boots and vents. Boots and vents will be unpainted. 11. Provide and install Cobra Rigid Vent III ventilation, with color matching (JAF SeaI-A-Ridge Cap Shingles. 12. Sweep magnets around the perimeter area of work to collect loose nails, staples, and other various scrap sheet metal components. 13. Haul away all roof-related debris. 14. Our liability insurance coverage is based on completed operations. 15. All estimates/contracts are subject to Building Department approval in the appropriate county/city. � • � °'�"' Mas�rElite FL License#: CCC1326166 GAF License#: ME20454 � � �Gw7'��r �� ,�j State of Florida License#CCC1326166 and # CBC058155 30427 Commerce Drive, San Antonio,FL 33576 Phone (813) 782-9080/Fax(352) 668-4803 /www.neumannroofs.com 16. Payment schedule: Full amount at job completion. Unit Pricin� Schedule for Unforeseen Conditions• 1. Replace any rotted or damaged decking$65.00 per sheet. (2 sheets included in contract price). 2. Replace any rotted fascia $6.50 per lineal ft. 3. If there are multiple layers of shingles on the existing roof; we will add $}0.00 per square per layer of roofing to cover the tear off cost. Neumann Roofin�'s Commitment to Oualitv• � All work will be supervised by project managers to ensure quality work is preformed according to our proposed contract. • All work will be completed in a timely manner, excluding acts of nature beyond our control. • All carpentry work will be performed in conjunction with roofing work, in a timely manner following general workmanship quality. • All work will be completed by skilled and knowledgeable craftsman to ensure production of high quality of work. • The job-site will be kept free of debris throughout the duration of the project. • The perimeter of the project area will be swept with magnets to pick up any loose nails, staples, or other various scrap sheet metal components. • Any existing gutters will be cleaned of all organic and roof related debris prior to project close-out. • Neumann Roofing, LLC is fully insured with workman compensation and general liability insurance. iR�; , /� Mas�Elite FL License#: CCC1326166 GAF License#: ME20454 " • t �Gw9��',K�► „�,��j State of Florida License#CCC1326166 and # CBC058155 30427 Commerce Drive, San Antonio,FL 33576 Phone(813) 782-9080/Fax (352) 668-4803 /www.neumannroofs.com It is understood and agreed the Neumann Roofing,LLC will be held harmless for alleged or actual damages/claims as a result of algae,fungus,or mold. It is understood the roofing contractor and the roofing contractor's insurance will exclude all coverage, including defense,damages,related to bodily injury,property damage and clean up directly or indirectly in whole or in part for any action brought by mold,including fungus and mildew regardless of the cost,event, product or workmanship that may have contributed concurrently or in any sequence to the injury or damage occurs. "This document has been prepared for those parties financially responsible for services rendered. Reliance upon this document or upon information,observations or opinions contained herein should not be made by any party other than the intended recipient designated on the title sheet of this estimate or report. The intent of this evaluation is to prepare an opinion of the probate scope and/or cost of work to be performed based upon the parameters set forth by the client and the individual needs and conditions found within the structure at the time of inspection. This opinion assumes a specific scope and methodology. The user is cautioned that changes in either scope or methodology would have a reciprocal effect on this opinion. If this should occur,we reserve the right to review such changes and then nnodify our opinion accordingly. Furthermore our opinion assumes resulting work will be competitively bid and,as such,it is advisable to solicit multiple bids for such work." WARRANTY: • 5 Year 100%Workmanship/Labor—Provided by Neumann Roofing • Upgraded GAF Weather Stopper System Plus Warranty Warran uestions Answer Overall cover e eriod Lifetime U -front 100% covera e eriod 50 rs. Covers roofin s stem? Yes entire s stem Cost of installation labor included? Lifetime Installer certified? Yes Tear-offcost included7 Yes Good Housekee in rotection or roofin system? Yes �� Il�e'rElite FL License#: CCC 1326166 GAF License#: ME20454 ; �d�19�� .G..L. ,i j, State of Florida License #CCC1326166 and #CBC058155 30427 Commerce Drive, San Antonio, FL 33576 Phone(813) 782-9080/Fax (352) 668-4803 /www.neumannroofs.com TOTAL Estimate: $ 8,310.15 � 100% payment due upon job completion. • Proposed price is valid for 30 days from proposal date. Subject to price increases after 30 days. • In the event it is necessary to collect any amount of money owed hereunder by referral to an attorney,collection agency, or court proceeding, it is agreed that Neumann Roofing, LLC shall be entitled to reimbursement for all costs of collection of unpaid amounts by Owner/Agent and for reasonable attorney's fees and costs for the breach, or enforcement of any terms of this entire service agreement. A service charge of 1.5% per month will be due on all invoices thirty (30) days past due. • We accept cash, check or credit card for payment. If you choose to pay by credit card the following fees will be added to your contract/invoice amount: Visa/Master Card—add 2%; AMEX—add 3%. Fees are non-negotiable. Accepted By: a� fing, LL,C � � / ,� � � � Date: �- � Da �_ ; . �� , � � Ma�erElite FL License#: CCC1326166 GAF License#: ME20454 , �aw��;�y, .L�.L�,lj� State of Florida License#CCC1326166 and # CBC05815C 30427 Commerce Drive, San Antonio,FL 33576 Phone(813) 782-9080/Fax(352) 668-4803/www.neumannroofs.com CONSTRUCTION LIEN LAW Florida State Statutes 713.015: Mandatory provisions for direct contracts. (1) Any direct contract greater than $2,500 between an owner and a contractor, related to improvements to real property consisting of single or multiple family dwellings up to and including four units, must contain the following notice provision printed in no less than 12-point, capitalized, boldfaced type on the front page of the contract or on a separate page,signed by the owner and dated: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX,AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. (2)(a) If the contract is written, the notice must be in the contract document. If the contract is oral or implied,the notice must be provided in a document referencing the contract. (b) The failure to provide such written notice does not bar the enforcement of a lien against a person who has not been adversely affected. (c) This section may not be construed to adversely affect the lien and bond rights of lienors who are not in privity with the owner. This section does not apply when the owner is a contractor licensed under chapter 489 or is a person who created parcels or offers parcels for sale or lease in the ordinary cour e of business. Accepted and Approved: �-. , T NAM �� - �� '`��Client Initials �� Neum.ann Officer e�r 1 �c, ��1�� FL License#: CCC1326166 GAF License#: ME20454 � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department D�fe Received Phone Contact for Pertnitting 813 7 8 2 __ 9 0 8 0 1 1 1 1 1 t 1 1 t 1 1 1 1 Owner's Name Owens, Charles D II & Scarlette L OwnerPhone Number Owner'sAddress 6748 Northlake Dr Zephyrhills, FL 33 42 OwnerPhoneNumber � Fee Simple Titleholder Name Fee Simple Owner Phone Number C Fee Simple Titleholder Address JOBADDRESS 6748 Nothlake Dr. Zephyrhills, FL 33542 LOT# 27 SUBDIVISION Silver Oaks PARCELID# 03-26-21-0160-00000-0270 (OBTAINED FROM PROPERTY TAX N01lCE) WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH X INSTALL REPAIR PROPOSED USE � SFR Q COMM � OTHER �� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � � DESCRIPTION OF WORK TEAR OFF EXISTING ROOF SYSTEM AND REPLACE WITFi TIMBERL:CNE HD ROOF BUILDING SIZE SQ FOOTAGE 2690 HEIGHT �BUILDING�ROOFIN $ 310.15 VALUATION OF TOTAL CONSTRUCTION OELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �PLUMBING $ 1� � �_' � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��J � OGAS XQ ROOFING Q SPECIALTY � OTHER� �O (�/_ _��,`� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO BUILDER ` /�� COMPANY JASON NEUMANN/NEUMANN ROOFING SIGNATURE V " "" REGISTERED Y/ N FEE CURREN Y/N Address 3 427 COMMERCE DR, SAN ANTONIO, FL 3 576 License# CCC132Ei166 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# � PLUMBER COMPANY SIGNATURE REGISTERED Y! N FEE CURREN Y/N Address License# C MECHANICAL COMPANY SIGNATURE REGISTERED Y! N FEE CURREN Y/N Address License# C OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y!N Address License# C tltltltlllllllitliltllllllltlllllitlllltttllllllltllllltllllilllltl 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 Facilities&1 dumpster;Site Work Pertnit 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 Permit for all new projects.All commercial requirements must rrieet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""*PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ""` Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizung same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/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" � whi�fi 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'S/OWNER'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 Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, '�IVastewater 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 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 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, c�r 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT ( �,.c��1,� CONTRACTOR_��'1- Subs rib@d and swo�0 o�fir ed be pr�me this Subscribed and swo to(or affirmed)before me this �g l r� 2J2--� � by i "��L�V�;�t�nr'+T �(j/� by JASON W. NEUMANN '� Who s/are personally now�n to me or haslha`ve produced Who is/are personally known to me or haslhave produced as identification. PERSONALLY KNOWN as identification. Notary Public �iyL��p� /� .� `�,�/L� Notary Public mmission No. Commission No. �� /L/,3�j �7 C�'Jri�S"��P ��- O/l a f�✓ Name of Notary typed,printed or stamped Name of Notary typed,printed or sta d �ZARYq LHR18�'I�K MAJOR ar NOTARY PUBLIC � �STATE OF FLORIDA � =Comm#EE 143314 s�N E �� Expires 11/2/2015 IIIlllallllllllllilllllllllilllllllllilllltlllllllllllllllll � ��1'dR�RECORDING—RETURNTO: . 201�1032103 Repi:ls8�439 R�e: 10.00 ' D5: 0.00 IT: 0.00 ' 03/03/14 D. Bonllla, Dply Cls�k PERMIT NUMBER: NOTICE OF COMMENCEMENT The undersigned haeby gives notice that improvement will be made to cerfain real property,and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY(Legal description Of the properly&stroet address,if availeblG)TAX FOLiO NO.: ��Z�-0�ga00000-02�0 SUBDNISION St8pI18f1�S GIB�8t SIIV2f OBICS gLOCK TRACI' LOT 27 BLDG UNIT ! 6748 Northlake Dr.Zephyrhills, FL 33542 PB 31 PGS 150-151 Lot 27 i i � 2.GENERAL DESCIiIPTION OF IMPROVEMENT: � TEAR OFF EXISTING ROOF SYSTEM AND REPLACE WITH TIMBERLINE HD ROOF SY3TEM 3. ONTIER PIFORMATION OR LESSEE INFORMATlON IF THE LESSEL CO TRACTED FOR THE IMPROVEMENT: , a.Nameandaddress: �ens Charles D II 8�Scarfette L �(y'��{� �}ovk��a��{ �r��Y�I��S �c,,�5`� b.mterestinproperty: FEESIMPLE � c.Name and address of fee simple iitleholda(if diRerenc from Ownw listed ebove): corrrrencroe�sNnme: �ASON NEUMANN/NEUMANN ROOFING,LLC ao�seed�es:: 30427 COMMERCE DR�SAN ANTONIO� FL 33576 p phoneo�mba: 8�3-782-9080 5. SURETY(ifapplicable,a copy of the paymcnt bond is attached): a.Name and address: b.PFrone number: c.Amount of bond:S 6.8.LENDER'S NAME: Lrnder's eddress: b.Phone numbu: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: a.Nameandaddress: p�q S.0'NEII,Ph.D.PN5C0 CLERK 4 ��Tp��ER b.Phonenumbersofdesigna�edpersons: 03I03/S4 �'•04�� 1P�efA��A OR BK L 3 GV�T * 8.a.In addition to himself or herself,Owner designates of �� * to receive a copy ofthe Lienor's Notice az provided in Section 713.13(1)(b),Florida Statutes. b.Piwne number of pason or entity designated by Owner: � � � * 9. Expiration date of notice of commencement(the expiration date may not be before the completion of construction and 6nal Q . �,'� • e' `�J � payment to the contractor,but will be 1 year from the date of recording unless a ditTerent date is specified): ,Zp_ � w ��,� ^ O WARNING TO OWNER� ANY PAYMENTS MADE BY TI-IE OWNER Fi'FR 7HF FXPIR ATInN f1F THF unnrp nc rn .�� m. ' ,�' h� � PR PE P 1 I I � �r. � �� RESIJI.T IN YOUR PAYING'f WIC�!'OR DNPROVEI�N'IS TO Y 1R PROP.RTv A U!1'n!`c!1c rn�.n..rc�.rrFt��cwrr.n m�r nc � � RF.CORDED AND POSTI:D ON l{16 JOB SITE BEFORE T[-�FIR.CT INSPEC7'fON. IF YOI!R.1T�n'm nn'remt cn�_.��r �n_M��e�n-r Wfl'H YOUR IENDER OR�N ATTORNL'Y BEFORE COMMINCING WORK OR RRMunrtJl:vnim urtt�u^�nr rn�n�cw��c..c.,�,� � � Under penalry of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to * •* �( the best of m knowl e and b �"�— OW�VI' ' � � � W Y sture of Ow er or fAsscc,or Owner's or Lessee's �Pnnt Name and Provide Slgnatory's Title/Oflice) c� z V `�� w Authorized OfficedDirector/Partner/Manager) � — W � (A✓ (� � V (� � = � J U State of FLORIDA Q O U �J N O � County of PASCO LL W o � w � w � � Wzcn d o F� � o = - -� � The foregoing instrument«as acknowledged before me this 2� day of �j .20 � } w � � Q . O �� bY �C�1c� �C.�'y�c, ,as � f— c� c� �e.� Z =OQ� ' �S (n,unc<,f person) (type ofauthori � ►—� U v— Y for �',•••e.g.officer,hustee,attomey in fact) � 4 (nameofpartyon beh;�i�,�:��hrnn instrumentwasexecuted) V=p U � � Q�— r � Q —' Personally Known�or Produced Identification Type of Identification Produeed � } � m Q c� V � � �a � o� U � � LL. = aw �� r_rtNtST BRYAN GREGOHY � � O p p Z �• �' ; r.+,v COMMISSION�#FF0288t9 � � � Q � '4,��0,.- EXPIRES June V,2077 (Signature f otary Pubflc) � d � Q v� !D 98��157 Fwridnrlo�aryServko.com �P*�nt,Type,w Stamp m issioned Na ofNot Public) z W Vi � Rev.10-0I-I I(S. � � Q _J W Q Qcn � � z —� 1 � = � z � � - sn r- �-- o � a m