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16-17123
Zephyrhills
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Building Department
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2016
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16-17123
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Last modified
2/20/2017 10:39:40 AM
Creation date
2/20/2017 10:37:23 AM
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Building Department
Company Name
ZEPHYR BREEZE
Building Department - Doc Type
Permit
Permit #
16-17123
Building Department - Name
BOOMHOWER,GORDON & CARLENE
Address
6131 19TH ST
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' � � Illllllllllllllllfllllllllllllllllllllflllllllllllllllllllll <br /> � 201602a570 <br /> Rcpt:1750253 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 02/24/2016 K. D. K., Dply Cle�k <br /> PRULR S.0'NEIL,Ph D PqSCO CLERK B COMPTROLLER <br /> 020R4BK01����m PG 1155 <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property IdenNfication No. O�"o��n'c7���//�—�D�3✓�� <br /> THE IINDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with <br /> Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMM�NC�MENT. <br /> 1.Description of property(legal descrrption:) <br /> a)Street Address: lo/ / /9�' S '��1!/.P/1/1LS L 3�35.�7 <br /> 2.General description of improvements: � � <br /> o�a9 A i' io - lJL�i,� A / - o <br />� 3.Owner InformaRon /! / '/ ✓ ,/,y • ��� / �f '/ <br /> a)Name and address:(TO/100rt� �OD,f/h�'OLtJ�2� y/ �/B�.t� �✓•.�S/�'�l.1�.�TA/�'. �/T <br /> b)Name and address of fee simple tideholder �f other than owner) /)5/��� <br /> c)Interest in property D[t1.!/�2� <br /> ontractor Information 1 �z U �Y <br /> a)Name and address•��/it/it/jNfrfi�fJ� �O�S7/,�o•J W ti � w <br /> b)Telephone No.• ,3S'7_—5.2/—�9�5 Fax No.(Opt.) ,3,�'Z—$�Z/—D$ lo �C9�� — —� <br /> S.Surety Information � �V�l—=� —JJ � <br /> a)Name and address: ��O= Q�� � <br /> b)Amount of Bond: y,p� � �F— i1.f �— W <br /> c)Telephone No.. Fax No.(Opt.) �O�z � d <br /> 6.Lender � � i— � Q <br /> a)Name and address: Phone No. _��0 � U <br /> 7.Identity of person witliln the State of Florida designated by owner upon whom notices or other documents may be served: o � Q w� <br /> a).Name and address: V Q O � <br /> b)Telephone No.• Fax No.(Opt.) _ Q� U U <br /> 8.In addition to hunself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section � �' -� J <br /> � U�� � <br /> 713.13'(.1}(b),Florida Statutes: (,}� � �a � O� <br /> a)Name and address: � � � Q � — <br /> b)Telephone No. Fax No.(Opt.) j,L w U O = p Z <br /> 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is �\ <br /> � ` O � � <br /> specified): � �z U <br /> � V) Q J <br /> � _ W Q <br /> WARMNG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF � _�z ��;'S � <br /> COMMENCEMENT AF2E CONSIDERED IMPROYER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, � �— f-- O � 1Y a � <br /> FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 1'O YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST 13E RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST � � �L <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT 1'OUR LENDER OR AN ATTORNEY BEFORE , o �'� <br /> COMMENCIIVG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ��'� �d0 <br /> • • •` � <br /> / pe � <br /> STATE OF FLORIDA _/_,� p�y i %��e�� � �� <br /> COUNTY OF PASCO ������`' � <br /> Sign re of Own r or Ovmer�' horized O�/fficedDirectorlParNedManager � � � <br /> �m �/C� l�✓r����U!/���/ ' '��do � � � <br /> Print Name � � •• t9` C/j <br /> � � / ND � �. <br /> Th egoing inshument was aclmowledged before me thi�,7'=day of Y C•��� ,20��,by ����✓ yB e <br /> �Q��{�p/,��� as dl,�idL�-- (typ ofauthority,e.g.officer,trustee,actomey �� � <br /> in fact)fo�� (name of party on behalC of w m instrument s executed). �� • � • � <br /> IPersonally Known�OR Produced IdenNfication_ Notary Signature ���� � <br /> Type of Idenrification Produced Name(print) {� � ?i�L � /�LQ� <br /> Veriftcation pursuant to'Section 92.525,Florida Statutes.Under penalties of p jury,I declare t I have read e foregoing and that <br /> the facu stated in it are�ue to the best of my knowledge and belief. <br /> I �� <br /> Signature oCNatural Person Signing Above <br /> FORMS/NOC,rvsE2007 <br /> - �`;"•�'84�. JAoOUEUME A VAIDEz I <br /> # � � MY COh4.lISSION 1 Ff 150F4B <br /> FXPIRES:Augusl 13,2018 <br /> ��?�nd,"° 6a�de47trvBidpefNohry6errlce� <br />
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