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15-16791
Zephyrhills
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2015
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15-16791
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Last modified
2/22/2017 9:37:23 AM
Creation date
2/22/2017 9:37:22 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-16791
Building Department - Name
HUMPHRIES,JOSEPH E & KILEY BARBAR
Address
5612 CYPRESS ST
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I lillll llllllllll lllll lllll lllll lllll lllll lllll lllll lill llll <br /> zei�is2iis <br /> Permll No. • Parcel ID No, � "'_�^`�' �I v""`�-O�"�-"'^�O <br /> � NOTICE OF COMMENCEMF�VT� <br /> State of � I���`1 Camly o} I� sc.o <br /> THE UNDERSIGNED herehy gNes nolice Ihat Improvement wHl be made to certaln real propeity,and in accardance with Chapler 713,Florltla Statules, �o A <br /> the fdlowing Infarmat{on Is provided in this Nodce of Commencemen• ^11- <br /> 1. Descriptlon ol Property: Parcel IdentlticaUon No. I��a�p��1-b��p� �-�1� �N w <br />' (da C Q�ess �+• Ze�Dh.rrh�lls Fl 335�ta N�� <br /> Slfeet Addfess:,s N m J <br /> , mmw <br /> ►+ .� <br />' 2. General Deacripllan of Imp vemeni �p � <br /> -�2ar�F-F fe'To� rn .. <br /> 3. Owner Infamallon or lessee infartn Oon ii Ihe Lessee conUacted i the Impravement: 3-"'�i� <br /> f�tS f�bc0. �L�{U� �OSe �. Qp,r �a lG(� � Jm ri o m° <br /> e"'� na$ 5 Tdron�o �� Zmp� Ft 33(�aq ��m� <br /> Addresa City State n m <br /> Interest In Prope�ty: '- m <br /> n <br /> � <br /> Name af Fee Slmple Titlehalder: F <br /> (If dif(erent tram Owner Ifafed above) <br /> Address n .n Tn� City Stete • <br /> 4. Conlractor: �l- <br /> i3 S 5 7�h.��ln;ll5 —( 335�1 <br /> Addreas �) -7 pa_��y Cil Slate N c <br /> ConlradaYs Telephone No..D I 3� 1 U ' A m D F �1 Y <br /> 5. Surety: _ x►�a o �W LL � � <br /> Name m� ���c�� U <br /> Address Clly Stale ��,� � �(=j O� !-y- <br /> Amounl of Bond: 5 Telephona No.. �A o a ��O� W 'N � a <br /> 6. Lender: Na N � 2�' W z � a � <br /> Neme g � O = —. J � <br /> o �, <br /> Addrees Cily Stale �►�m � W L�- � U U <br /> Lendefs Telephane Na.: � z = � � � <br /> � (/1��o, � F-- } U lL, '0.� <br />, 7. Persons wlihln the State of Florida designeted by the owner upan whom notices or other documents may be served as provided 6y ��,,e o �— Q- � � <br /> SeUion 713.13(1)(a)(�,Flarida 5lelutes: � � (,� = 0 U <br /> � <br /> ti Z <br /> Name � m � � W � Q LL <br /> � � � � � Z O J <br /> Address � Clry State � � � � Q } W <br /> Telephone Number of Designated Person: � U O Q } p z <br /> I 6. In edditian to himaelf,fhe owner deslgnates of �'1' � p � � O <br /> to receive a copy of ihe Lienofs Nolite ea provided in Seclian 713.13(1)(b),Flarida Statutes. W � Q � � ¢ <br /> Telephone N�m�ber W Person or Enlity DeslgnFited by Owner. Q �j � z j <br /> 9. Expiratlon dale of Notice of Commencement(111e expiralion date may not be 6efore llie compl I' n of conslrudion aInd-flnal payment to tha � 2 � Z F— a m <br /> �av 3oaa cn � � o �'- <br />' conlraclor,but wlil be one year trom the date of recarding wiless a dlfferent dale Is specified): �{ <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 0�O7'ICE OF COMMENCEMENT <br /> II ARE CONSIOERED IMPROPER PAYMENTS UN�ER.CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES; AND CAN <br /> RESULT IN YOUR PAYING IWICE FOR I��IPROVEMENT5 TO YOUR PROPERTY A NOTICE OF COMMENCEMENT ML1ST BE <br /> RECOROEO AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF VOU INTENO TO OBTAIN FINANCING,CONSULT <br />' WITH vOUR LENOER OR AN ATTORNEY BEFORE COMMENCIN6 WORK OR RECORDING YOUR NGTICE OF COMMENCEMENT ' <br /> Under penalty of perJury,I declare that I have read the foregoing notice of cammencement and lhat lhe far,ts stated there(n are true to the best � � <br />' ot my knowla8ge and bellef. � �� �' <br /> STATE OF FLORIDA ' ). y��..�, � <br />' , 1.A� \�S,��i..�_.fl�`121�.r j�'l �'�i M �, �� <br /> Signature o(Owner or Lessee,or C�Prs or Lessee's Aulhorized !a � <br /> OHicerlDirecladPar1ner/Menager � � <br /> � '•�, . � o <br /> �-t,u�$� a <br /> � <br /> Signatoys Title/OHice �,� • � <br /> The foregaing Inslrummt wea adcnawte0ged be(ore me Ihis O aey af L/u%• ,yp IS by_ Vf'Y�J�f7�. K�� _ � ,� ' � � /d <br /> ag 't e ot aulhoril e. . oRicer t ee ettom in fa �f . <br /> � <br /> (f P Y� _9. , _ ey U, or � <br /> (name ot art o he of Irotrument was execut � ••� <br /> e . <br /> . P � <br /> Personally Knawn OR Produced IderNificauon� Nolary Slgneture ��1 { �r � <br /> Type of Idenlification praduced Name(Print) `°z � •1°1 <br /> ,pYp�� Notary Publb State d Fbrda <br /> �' Temmy Verdadero <br /> � My CanlNSeion FF 184019 <br /> �'►a�d�° expms�vte�zoia <br /> wpA elalbcs/nallcecommencemem,�ep53048 <br /> , I <br />
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