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16-17622
Zephyrhills
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Building Department
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2016
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16-17622
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Last modified
7/17/2017 2:18:46 PM
Creation date
7/17/2017 2:17:36 PM
Metadata
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Template:
Building Department
Company Name
CITY OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
16-17622
Building Department - Name
ZEPHYRHILLS FIRE DEPARTMENT
Address
38410 6TH AVE
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� OR BK g��,3 PG 1473 <br /> � • <br /> • . - ` 2 of 2 <br /> Phone number(af person or entity designated by Owner): /� � <br /> � . Expiration date of notice of commencement (the expira n date is one year from the date of <br /> recording unless a different date is specified): n�� <br /> W G TO OWNER:ANY PAYMENTS MAllE BY'TI�OWNER AFTER THE EXPIlZATION OF THE <br /> NOTIaE OF CONMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, <br /> PART SECTION 713.13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR <br /> IMPR VEMENTS TO YOUR PROPERTY. A NOTICE OF COMIVIENCEMENT MUST BE RECORDED AND <br /> POST'�D ON THE JOB SITE BEFORE THE FIRST�INSPECTION. IF YOU INTEND TO OBTAIlv FINANCING <br /> CONS�JI.T WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING <br /> YOUR NOTICE OF COMMENCEMENT. <br /> City of Zeph3�rhills (Owner) <br /> By: ��S�J�c- �.a�" <br />' Print Name: S�PJtJ�e,v. �fi I�1� ' <br /> Print Title: C c� YYt a h M.�P� <br /> i Address: 5335 8th Street Zephyrhills,FL 33542 <br />� STATE OF FLORTDA � <br /> COUl�TY OF PASCO <br /> August, 201 , . <br /> The fo egoing instrument was acknowledged before me this�day of� y, o��-��� � o � <br /> I � <br /> (name of person),as e of authority)for City of Zephyrhills. <br /> ``\\����a�uiunuii� �L� �✓ <br /> � ��,HILUyq�,��i�, � <br /> `����P�,�SSIO/y�l'.o';/''�% _ <br /> � :p��t13,2p � . � (Signature) <br /> � 'v1� )�9t�: � <br /> = ;�Q •� N•*..���ri '� , �i%/���✓ <br /> - �• :¢- <br /> _*i • (Printed Name) � <br /> % �112597 :Q` <br /> ��99,.,,�e„�a��,���\s�VOTARY PLTBLIC, ST'ATE OF FLORIDA <br /> '/,/,����1!CjiSt 11������\ / d <br /> (Co ssion Expiration Date) <br /> Perso ally Known�OR Produced Identification <br /> � <br /> Type f Identification Produced i <br /> ; Verification_pursuant to Sec�aon 92.525,Florida Statutes <br /> Under, enalties of perjury,I declare that I have read the£oregoing and that the facts stated in it are true to the best of <br /> my kn wledge and belief. - <br /> � �� , i <br /> Sfi � � <br /> (Signature of person signi g above) <br /> , i <br /> i <br /> I <br />
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