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16-17592
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2016
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16-17592
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Last modified
11/2/2016 11:24:09 AM
Creation date
11/2/2016 11:22:41 AM
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Building Department
Company Name
CHURCH OF CHRIST
Building Department - Doc Type
Permit
Permit #
16-17592
Building Department - Name
CHURCH OF CHRIST
Address
5444 4TH ST
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� � i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iaii <br /> 2016123140 <br /> Pertnit No. Parcel ID No `���`�` '�` _ ��/��� 0�3�0� � � LQ <br /> NOTICE OF COMMENCEMENT <br /> State of " "�-/�, �� County of �Q-J�'� <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain real pmperty,and in accordance with Chapter 7'13,Florida Statutes, <br /> the following i�ormation Is pmvided in this Notice of Commencement <br /> 1. DescripGon of Property: Parcel Identification No. L� � Z��� � �L� � ����� �' Q� Z� <br /> StreetAddress: ��y� �f `� �T �2�G��,, rh;��.C..s � 33 S�( 2 <br /> 2 Generel Description of Improvement l�K V YI/L����C ������-C.0 J/�✓� <br /> 3. Owner Information or Lessee infortnation if the Lessee contracted for the improvement: <br /> ��h.yr�.c�s �rr:P.� ��F '��,riST <br /> i C�{�y amet G.��'"t �-Qf�� r� R <br /> "� <br /> Address Ci� Sta[e <br /> Interest in Property: <br /> Name of Fee Simple Titleholder: <br /> (If dif(eren[from Owner listed above) <br /> Address �. �� � �. City � Siate <br /> ConVactor. <br /> Name ��(.� �Ca.�.�'��I1'� �e '�' � <br /> Address ppl , City State <br /> Contractofs Telephone No.. �( ��' 7_ L �l � 0�0� <br /> 5. Surety: <br /> Name <br /> Address City State <br /> Amount of Bond: $ Telephone No.. <br /> 6. Lender. <br /> Name <br /> Address " Ciiy State <br /> Lender's Telephone No. <br /> 7. Persons within the State of Florida designated by lhe owner upon whom noiices or olher documents may be served as pcovided by <br /> SecGon 713.13(1)(a)(7),Florida Statutes: � <br /> Name <br /> Address City Sta[e <br /> Telephona Number af Designaled Person: <br /> 6. In addition to himself,the owner designates of_ <br /> � to receive a copy of the Lienors Notice as pmvided in Section 713.13(1)(b),Florida Statutes. <br /> Telephone Number of Person nr Entity Designated by Owner <br /> 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to lhe <br /> contractor,but will be one year from the date oi rc�wrding unless a different date is specified): ` <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF 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 N/10E FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECl10N. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT <br /> Under penalty of pe�jury,I declare that I have read the foregoing notic of commencement and that the facts stated therein are true to the best <br /> of my knowledge and beliet. <br /> STATE OF F R y•,, MELONIE L MOf�ON ' <br /> couNTv o _���: MY fAMMISSION#fF 911360 <br /> 2��9 Signatu e of Own or Lessee,or ers or Lessee's Authorized <br /> ��., �de EXPIRES:AUg11St 19, OfficedDirector rtnedManager <br /> '��'f,p,���gz:�'� BondedThruNotaryPub�ieUidenmfers .�_� �[ /� <br /> �l�p�l7i-"--. / �f �t'G �i,[ Y�' (/ <br /> Signatorys Title`Of�fic� <br /> The foregoing instrument was admowled ed betore me this�day of Z� �,20�by 1�'�-�n�_ -��'�i e, <br /> as_o�l, CU" (type of authority,e.g.,officer,trustee.attomey in fact)for <br /> � O �'1 ' c (n e of p rty on behalf of whom' Stn ment was execuled). <br /> Personally Known❑,Q$Produced Identiflcation Notary Signature - <br /> / `Q � <br /> Type oi Iden�cation Produced �� Name(Print) C�}7 I� L,• ) <br /> Rcpl:1791454 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 08/04/2016 J. R. , Dpty Clerk <br /> PAULA S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER <br /> wpdatalbcs/noticecommencement�c053048 08/04/2016 03:51 m 1 of 1 <br /> OR BK �4�� PG 24�� <br />
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