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15-16560
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15-16560
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Last modified
6/15/2016 9:22:03 AM
Creation date
6/15/2016 9:22:03 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-16560
Building Department - Name
SHANNON JR,W.V.
Address
5551 8TH ST
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. � I IIIIII II�II III�I IIIII�IIII II�II�I�II II�II�I��IIIIII��IIIV�I <br /> , � 2015141480 <br /> . I <br /> i Rcpt:1709842 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> i 09/01/2015 J. R. , Dpty Clerk <br /> � <br /> Pe�nit No. Parcel ID Ni �[ '��p`-2��d���"� v�/00-DD/� <br /> NOTICE OF COMMENCEMENT <br /> �'Jn /► ' ,��Sc� <br /> State of �d��k..��/'f _ County of <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain reall property,and in accordance with Chapter 713,Florida Statutes, <br /> the following information is provided in this Notice of Commencement: / , /!y <br /> 1 Description of Property� Parcel Identification No. � i ��47��1 ��/f/ " ��9��-� O�� <br /> Street Address: � ��� � I �' �� v . <br /> 2. General Description of Improvement �l�- -��� �� �� <br /> 3. Owner Information or Lessee information if tlie Lessee contracted for the improvement: __ ___ _ J� _ _ __ <br /> �l�G/�}/LJ �JY/7��l�� <br /> ��.�� Nam� s! 02��/����LG.� �L <br /> Address � i City Sta�3�y <br /> Interest in Property� �/G�/'��� � <br /> .�" <br /> Name of Fee Simple Titleholder• <br /> (If different from Owner listed above) � <br /> Address n� y� I Ciry State <br /> 4. Contractor �d'T��� J������ I <br /> ���am��x f��� I �J�� �/�� �G <br /> Address � City State 3�� <br /> Contractor's Telephone No. �S� "SG7 s��� I <br /> i <br /> 5. Surety: , <br /> Name � <br /> Address City State <br /> Amount of Bond: $ Telephone No. <br /> i <br /> 6. Lender• <br /> Name <br /> I <br /> Address Cify State <br /> Lender's Telephone No. , , <br /> 7 Persons within the State of Florida designated by the owner upon wh Im notices or other documents may-be served-as provided-by- ------- <br /> Section 713.13(1)(a)(7),Florida Stalutes: <br /> Name ' <br /> Address I City Sfate <br /> �— , <br /> Telephone Number of Designated Person. <br /> �— of <br /> g. In addition to himself,the ow ' tes_ i <br /> to receive a copy of the Lilenor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> Telephone Number of Person or Entity Designated by Owner � - <br /> i <br /> g. Expiration date of Notice of Commencement (the expiration date may not be before the completion of,co�uction and final payment to the <br /> contracfor,but wiil be one year from the date oi recording unless a differentl date is specified): %/ <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION O THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713; PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE <br /> WITH�YOUR LEN�ER OR�AN ATTORNEY BIEFORE�COMMENCING WORK ORI RECORDI�GI YOUR NOTICE OF COMM N10EMENTSULT <br /> Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the f cts stated therein are true to the best <br /> of my k�owledge and belief. <br /> a <br /> STATE OF FLORIDA �' �_ <br /> COUNTY OFPASCO <br /> Signature of Owrier or Lessee,or wner's or Lessee's Authorized <br /> Officer/Director/Partner/Manager <br /> __._ - Signalory's Title/Offc� <br /> � / ` ��)lt����,c:��.� <br /> The foregoing instrument was acknowledged before me this��day of '�5�201�bY <br /> as �i�`"���— (type o au y,e. ,o cer,t stee,attorney in fact)for <br /> � (name o behalf of wh in rument was executed). <br /> Nota Si nature � 2'L� <br /> Personally Known�OR Produc�ldentification rY 9 � <br /> �'L ��J� '�1�-�"�/� Name(Print) - � ` <br /> Type of Identification Produced I <br /> � MARC.lAY 3EIDENBERG <br /> t�OTARY PUBL�C <br /> STAiE OF RORlD�► <br /> . Commit FF067260 <br /> i E�it�es 1211712017 <br /> wpdata/bcs/noticecommencement_pc053048 � � PAULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLEF <br /> I09�Rl B 01�2�CJ m PG 2��� <br /> � <br /> i <br />
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