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16-17619
Zephyrhills
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2016
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16-17619
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Last modified
7/17/2017 2:13:48 PM
Creation date
7/17/2017 2:12:05 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-17619
Building Department - Name
BOICE,RAYMOND & KATE
Address
5737 13TH ST
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I filllli 11111111i1 If1111111111111I111i IIIII i1111 iilil�Ilf 1i11 <br /> I : .+ 2016120196 i <br /> Rcpt:1790216 Rec: 10.00 <br /> � Dg: 8.�0 IT: 0.00 <br /> 08101l2018 J. G. , Dpty Clerk <br /> Permi�No. Parcel iD No 1���ir�!G�?/C�"^Os7t� G��C.� <br /> NQTtCE OF COMlVIENCEMEN`T � <br /> State af ���� Caunty of 1��� <br /> THE UNDERS�GNED here6y gives notice that improvement wili be ma�e to certaip��, 1 pro erty,and 3n aqcor nce wifh Cha�te��71{3,Florida Statutes <br /> the following information is pravided in this Notice of Cammencement: ��F"3� �T�t'S�,L(7���� � ��Z�T 8'""""� '� '���'j`f��2��� <br /> 1. Descriptian of Properfy: Parce(Identification No. � I"`�e""�''��!�� � ( �' ��O_��C����� <br /> Street Address: ���� �3� � ,��������..�.�--�'�`�� — <br /> 2. General Descripfion of improvement�h�__�,�1„�.n��`�-r�—��� _ _ _ _ _ _ �v_ <br /> PRULA 5 0'NEIL,Ph.D PRSCO CLERK & COMPTROLLE <br /> 0$10112016 12:2P1 m 1 af 1 <br /> 3. Owner Information ar Lessee information ifthe Lessee contracted farthe improvement: OR BK �,��� pG �1��, <br /> ' `i��-y�����.� ��c�. � <br /> Name <br /> 5��_���, �St. � a�►�l� — <br /> Address . City State <br /> Interest in Property: �t r �q1n.�.-Fi <br /> Name of Fee Simple Titiehaider: � <br /> �If differen#from Owner listed above) �---_. <br /> Address n��� „��S City State <br /> 4. Contractor: 1' � <br /> �"��tg tv�me'bA�.G tiUN4 1 �-I;ut�� `Tt�dvt�� �� <br /> Address 1 y�.�,� � Gity State <br /> Gontractar's i"elepnone No.: �i� 'C.tCJt.c' ���a • <br /> 5. Surety: IV':n <br /> Na—_m�r" ..—.. <br /> Address City � State <br /> Amount of Sond: $ Telephone No.. <br /> 6. Lender: � l6� <br /> Name �--+ <br /> Address City State <br /> Lendsr"s Telephone No.: <br /> 7. Persons within the State af Florida designated by the owner upon whom notices or ather documents may be served as provided by <br /> Sectian 713.13{1}{aj{7),Florida Statutes: � <br /> Neme <br /> �---�� <br /> Address City State <br /> Te(ephone Number of Designated Person: <br /> 8. In additian to himself,the owner designates of ""' <br /> fa receive a copy af the Lienor's Notice as provided in Sectian 713.13(1){b},F{orida Statutes. <br /> Telephone Number of Persan or Entity Designated by Owner: <br /> 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of consfrucfion and final payment to fhe <br /> contractor,but wi11 be one year from the date of recarding unless a different date is specified): <br /> WARNING TO OWNER; ANY PAYMENTS MADE BY TME OWNER AF`i"ER TI-iE EXPIRATION OF THE NOTICE OF CC}MNiENCEN]ENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN <br /> RESULi iN YOUR PAYlNG TWlCE FOR IMPRQVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <br /> f RECORDED AND POSTED ON THE JCiB SITE BEFOR�THE FIRST lNSPEGTION. IF YOU]NTEND TO OBTAIN FINANGING,GONSU[.T <br /> � WITH YOUR LENDER OR AN A1�fORNEY BEFORE COMMENCWG WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> 1 <br /> ( Under penalty of perjury,I declare that 1 have read the foregoing notice of commencement and that the facts stated therein are true Yo the best <br /> ; of my knowledge and behef. <br /> I � <br /> STf,-tTE OF F�.4RlDA �. �u ���� �.,t�'LC.�.� <br /> COUNTY C1F AASCC3 <br /> � Signature o Owner ar Lessee,or Owner's or Lessee's Authorized <br /> � OfFicerlDirectorlPartnedManager <br /> � <br /> � � _ __ __- <br /> i . --- - - — __ __ <br /> __ � - - - ---—�'���� Signatory's Title/Office <br /> Th!foregoing instrument was acknowledged before me this�day of�� L 20�by��__�1� '� � )��-'1 <br /> � a� Q�[U'��(L,. {type af a h ty,e.g.,officer,trustee,attorney in fact)for <br /> ,, � (name of party o I f whom instrument was execufed). , <br /> � <br /> Pe'rsonalSy Knowsi 0 OR Produced iden8fcatian❑ - Notary Signature <br /> Type of Identification Produced �7"f� �z-i �i Z"���/ Name(Print) K.--4-t 1F�c1 A.11� `��►��..� <br /> ; � �r�� - <br /> � � <br /> � IDALMlS PENEl.LA <br /> =Or�Y P�:.�� MY GOMM►S310N#fF980379 <br /> � D(PIRES:APR 10,2020 <br /> °p� Bonded through 1 st State Insurance <br /> i <br /> i <br /> wpdatal6cslnoticecammencement pc453Q48 <br /> � <br /> � <br /> � <br />
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