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16-17656
Zephyrhills
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2016
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16-17656
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Last modified
7/18/2017 6:59:23 AM
Creation date
7/18/2017 6:57:58 AM
Metadata
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Template:
Building Department
Company Name
SILVER OAKS
Building Department - Doc Type
Permit
Permit #
16-17656
Building Department - Name
MAIDEN,DAVID
Address
6535 NORTHLAKE DR
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�p _.V ---____.____. ____� <br /> �--- <br /> �� � - <br /> ---- ' II I�IIIIII�IIII�I��II�IIII�I�III��I <br /> � II��IIIIIIIl�9065 <br /> Rept:179402P� Ree: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 08/16/2016 fC. M. , Dpty Clerk <br /> pRULA 5 0'NEIL,Ph D PRSC� CLERKof C1M TP RO�L.Ek <br /> 080R K la�� i�m PG ���� <br /> i� NOT'ICE OF COMM[E1�1ClElVYEN'T <br /> Permit o. <br /> Prope IdentificationNo.�--�Q�-p�'-n��-('��'�')(�—��) <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with <br /> Sectio;� 13.13 of the Florida Statutes, the followin information is provided in this NOTTCE O�F COMMENCEMEN'Y'. <br /> �+,u�. eA�s�A� 1 ��,2� �Pi55 �-tiv-4`i� �c�r�o�Gt�n,1 DF7�?�1tLt, <br /> 1.Description of property(lega!description:) <br /> la) Street Address: 5 33 <br /> 2.Generlll description of improvements: ' <br /> 3.Owne"Information <br /> a)Name and address;��J�(, ���� (0�5 ►Jl�(:T�1L1�1�� �., 7�0�A�.�,�15� ��c�10� <br /> b)Name and address of fee simple titleholder(if other than owner) {\5� � <br /> c) Interest in property ��E �t�h.t'Pl_.t <br /> 4,Contractor Information /� ' . <br /> �a)Name and address: l; �" " � � � •��, '�q'y�� �'�jj�(`i�� <br /> b)Telephone No.: �� ;�?`��r �111� Fax No. (Opt.) • <br /> S.Surety Tnformation w � �4 , <br /> a)Name and address: ��+ � V \ <br /> b)Amount of Bond: <br /> c)Telephone No.: Fax No. (Opt.) i <br /> 6 Lender i � � n ' <br /> . �a)Name and address: t� �C <br /> 1'Itone No. <br /> 7 ldent ty of person within the State of Flo ida designated by owner upon whom notices or other documents may be served: <br /> �a)Name and address: �� �- <br /> b)Telephone No.: � � Fax No. (Opt,) - <br /> 8.In add�tion to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13( )(b), Ftorida Statutes: � <br /> a)Name and address: <br /> b)Telephone No.: —� Fax No. (Opt.) --- <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 /> specifietl): � <br /> Ik <br /> � <br /> WARN�TNG TO OWNER: ANY PAYMENTS MADE BY T]HfE OWNER AFTER TI�[E EXPIRA'TION OF TH�NOTYCE OF <br /> COMM;ENCIEMENT ARE CONSTDEREF)IM�ROPER Y'AXMENTS UNDER CHAPTER 713,P�ilaT I,SECT$ON 713.13, <br /> FLOI2TDA STATUTES,AND CAN RESULT IN YOUR PAYING TWIC�FOR IMPROVEMEIVTS TO YOUR�'ROPE]E2TY. <br /> A NOTICE OF COMMENCEMEIVT MUST BE RECORDED AND POSTED ON TY��JO�SIT�BEFOR�THE F'1RST <br /> IIVSPECTION. IF YOiJ TNTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR A1V ATTORNEY BEFORE <br /> COMMIENCING WORK OR RECORDTNG YOUR NOTICE OMMENC � EN"T. �. _ <br /> u <br /> STATE OF FLORIDA <br /> COl1NTY OF PASCO <br /> � Si{�na[ure o ner wne s Authorized Officer/Director/Partner/Manager <br /> __�l(J c� IP�.n�n <br /> Print Name <br /> The foreu�oing.instrument was acknowledged fore me this d� day of (�A��_20 ��0,by <br /> ��''lJ �(��O� as �1(��-�, (type ofauthority, e.g. officer, trustee, attorney <br /> in fact)�'or (name of party on behalf of whom in was executed). <br /> R <br /> Person I11y Known OR Produced Identification� Notary Signature <br /> --I;- - --- --: <br /> Type of Tdentification Produced i �� � !�`�� v�U/,��ne(print) ���A,l.� -- <br /> � <br /> Verification pursuant to Section 92.525,Flor'- tatutes.Under penalties of perjury, ,eclare that I have r d�the f ro egoing and th <br /> the facts stated in it are true to the best o my knowledge and belie <br /> �' rJ.. <br /> Si nature o atural so� mg o e <br /> FORMSlNOC,rvsd2007 <br /> IDALMIS PENELLA <br /> �Y��� MY COMMISSION#FF980379 <br /> � � EXPIRES:APR 10,2020 <br /> � Bonded through 1 st State Ineurance <br />
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