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15-16303
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15-16303
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Last modified
3/10/2016 8:42:19 AM
Creation date
3/10/2016 8:41:26 AM
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Template:
Building Department
Company Name
LEE REED INSURANCE
Building Department - Doc Type
Permit
Permit #
15-16303
Building Department - Name
LEE REED INSURANCE
Address
38511 5TH AVE
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F�C Plans ������������������������������������������������������������ <br /> 2015128190 <br /> Florida &E�gineering <br /> �uildin 6272 Abbott Station Dr. <br /> g Unit 101 ' Rcpt:1704683 Rec: 10.00 <br /> (.ode ZephYrhitts,FL 33542 DS: 0.00 I T: 0.00 <br /> 08/11/2015 T. S. , Dpty Clerk <br /> Permit No Parcel ID No l � ' °��O'a � - (�C�� 0 - � S°Z v� ' 6�(o� <br /> NOTICE OF COMMENCEMENT <br /> State of County of <br /> (s <br /> w <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to ce�tain real property,and in accordance with Chapter 713,Florida Statutes, I� <br /> the following infoRnation is provided in this Notice of Commencement: �o <br /> SZo� 6\ �� �� <br /> 1 Description of Property� Parcel Identification No.,� � �� 2� ��� 1 �a <br /> � � <br /> Street Address. ,���� � � '�� ��t� 2-����J� l 1 `�' �— v ��� ;,a c..� <br /> t� ) Y �M <br /> 2. General Description of Imprbvement � A��'D � l s-�� ���11 ���� ���� v��"� � <br /> w <br /> J� � <br /> U a <br /> �O <br /> � E <br /> 3. Owner Information or Lessee infortnation if tfie Lessee contracted for the improvement: ;a�� <br /> ��'6`�1 �c7��.�� ;r.�� <br /> Name 3g S 1 I �*� �� 2 L}��,J'�" �� 5 Ir L M'"N <br /> �.��� Cit State �W�� <br /> Address Y z <br /> Interest in Property� ��n�� ,�N m <br /> � ti <br /> Name of Fee Simple Titleholder: <br /> (If different from Owner listed above) ¢� � <br /> � <br /> �a� <br /> Address City State <br /> 4 Contractor CJu� lY��TC- <br /> l0 J S�ameF� t�l l2 c /`-� zti�`' ��` � I�S state <br /> Address � p City <br /> Conlractor's Telephone No. U�3'� o�� �-3�� <br /> 5. Surety� <br /> Name <br /> Address City State <br /> Amount of Bond: $ Telephone No.. <br /> 6. Lender• <br /> Name <br /> Address City State <br /> Lender's Telephone No.- <br /> 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by <br /> Section 713.13(1)(a)(7),Florida Statutes: <br /> Name <br /> Address City State <br /> Telephone Number of Designated Pe[son: <br /> 8. In addition to himself,the owner designates °f <br /> to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> Telephone Number of Person or Entity Designated by Owner <br /> g Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the <br /> contractor,but will be one year from the date of recording unless a different date is specified): <br /> ARE CONSIDEREDE MPROPER PAYMENTB UNDER CHAPTER 713T PARTE,ESECTION 713�.13,HFLORID'AESTATU�TES,EANDMCAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <br /> WITH�YOUR LEN ER OR�AN ATiORNEB BIEFORE�COMMENCING WORK OR RNCORD NG YOUR NOTICE OF COMMENCEM NTSULT <br /> Under penalty of perjury,I declare that I have read the foregoing notice of commen emen e facts sta <br /> of my knowledge and belief. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO - - -- <br /> i tu e o n r L ssee ner's or Lessee's Authonzed <br /> Offic r/ irect er/ <br /> � ignatory's Titl OKce <br /> The foregoing instrume�t was acknowledged b /�re m�-e-thi��,day of_��2�/�,oY �����CG�L�G�.��% <br /> as /G�� � (type of authority,e.g.,officer,trustee,attomey in facf)for <br /> (name party on ehalf of�m in menf w exec ted). <br /> Personally Known OR Produced Identification❑ Notary Signat r <br /> Type of Identification Produced Name(Print) \..-�l`�,L�,/��� /\ / �L � <br /> ww <br /> , ��p"v�� SHIRDEN K.�}EI.COTTO <br /> ;� sr; MY COMMISSION#EE 198857 <br /> ='� 1j1,it� EXPIRES:June 26,2016 <br /> Bonded Thru Notary PuWic Undeimiters <br /> wpd atalbcslnoticecommencemenl_pc053048 <br />
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