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16-17781
Zephyrhills
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2016
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16-17781
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Last modified
7/19/2017 7:09:28 AM
Creation date
7/19/2017 7:09:27 AM
Metadata
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Building Department
Company Name
CITY OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
16-17781
Building Department - Name
CITY OF ZEPHYRHILLS
Address
5002 AIRPORT RD
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. � ��i��>i��1��«��1��iio��i�����«�i���`i�������«��i���«������ � <br /> . 2016153403 <br /> rtept:l$04317 Rec; 10.00 <br /> DS: 0.00 IT: 0.00 I <br /> 0912812026 K. R. hl. , Dp�.Y Clerlc i <br /> �flULA S 0'NEIL,Ph 6 FRSCO CLERK & COMPTROL�ER <br /> 09/28/201��� pm 1 ���� <br /> ' ijlC��'1fG�Lt�'�fll6ili�YERiC�MEPi'd' OR BK L� PG <br /> IPecmit Nc. <br /> n .y� `{} a � <br /> i � P[Q(?*l,T�I�Ci1fF1{3C8110t1 N0_1 L'�ivXr"G,^�.'�V V 4/V� F b�V"V�K.J <br /> ' THE i7NDERSIGNED haeby�ive infarrus you that the 3mpr�vemeai ronfft be mede to ce.�taui reat Property>arzd'm accordsace with <br /> � Scctian 713.i 3 of tLe Floridn Stadues,tha following inforntation is�rov3dal m this NO'1'IC&OF Q:pA3Ri1�lWCEA4EtV7'. I <br /> 3.2- �'"Ln-c�+�l -^ C''ti:�k�a%•- s;"-;7��3s:� :.,�t.a!t? <br /> ^'7d 2.I}esczig�an ofFroF�i}'{Iega1�escrtpttorr.)�e�:4.�a;5�..3 ;srt ��-,��-�a.,�'.�:,,�,��„sh;�3 �l,� 1n;2.�^ f�i�•��. ::a.! s�s�„5 i <br /> ;� ay Stxeet Addness: `� <br /> � 2.Qen�al deseription ofimprov6ments: <br /> ��� —�,�a r�a,��;� f��4..C.�uS 6� l�-�(.� P��C� �5 f 6 �►��-2.�v-�.._r.!� a��,�.�,Lj <br /> a)Nmtte and address: <br /> }Intes+�st ia propertyo�#'ee s�m�� �ttttebnfdaar{2f o�tez thau mmer}��; � � r,J j r a <br /> 4.Con�actae�Infpimatian <br /> !t 7�-'--- �—t <br /> � a)Narae and addmss;��laC��`L. �!C'`f`�Z�f1U S'Q�l �0�-fJ�� (�'Q�-'JS (1hC ����(?�?\'�"�� <br /> b)Talcp6nne No� Fmc No.{t}Irt.) CUi�QI.X."�`^� '('� <br /> 5.Sw�dty InEormation <br /> a)Yeme end eddzcss:� 7�f��"7 r <br /> � 6}�aiount of Boad: <br /> c}Tclephone 1«1a.t Fax Na_(Opc) <br /> � 6_Lender <br /> � s)2,�ame snd acidre.ss: <br /> i Phane No. <br /> 7.Idea�tiry o=pessoa within the Stnte of Florida designated by owaer upon wham aorices or othc docuwents may be served: <br /> ' a)Nau�e artd edd[Gss- <br /> b)7ele�phana Na: Fmc No.(Opt,) . <br /> I S,In additinn ta himcel�owner designates the fnIloa�ing pecson ta rcceiVe a copy di the Licnc+r'a Notiar as pmvided in Set�oa <br /> ! 713.19(l)(b}.Floriaa S#atates: <br /> � s}2�sme and addres� <br /> b)Tolephone TTo.: � ' Fax Na.(Opf.) - <br /> 9�pies�oa dele of Nodce of�ommencemcut(the cxpination date is oae yeaz frbxq the date of record'mg�mless a difle"rralt date'is <br /> � 5���. <br /> Vi+A,nrtYivG�'O£}'�Ti: ai1�IY P�.'Yn�i�Cs rRADl��x'�3�E o'�E�2 aF'x�?T�E R�LrJ�tAat'Ioid o�'I'�N4}�fa��F <br /> � ��R2'hitEP'T�NiEAIR'A,Ii�COP25TDE�D AM�RCtPER PAXiYiEN1'S UtiI3E�t C;HA�"�'ER 7I3,PRItT I.SECli4)N 733.Y9, <br /> FLORIDA STATU�'ES;AIdB�A.1V RESl17.T dIV XUUR PAYYlVG Ti�'xG7E�31t IM�]ROVBt4�[:NTS PRO <br /> I A NO'FICE�1*�OMR�EAiCEMENT N�JST BR RECQ�.43D�CA 1sN�B P05F�7D OPI'I'H�30B S �+FOftRS T€S£ <br /> ( IIYSPECTTOtV. IR Y43U T�ITEIrt�G'T�OBTAIPt F1NA1�tL`l[N�s C{��SULT YO�t I.� R AlY ATTORNL�7t B RE <br /> � CaMMENC�i�'�VOR1C£OR€tF3CORb1NG YOUR 7dOTTC'�OF L'ON'[TSEIV�C <br /> &'FATE OF FLttF21DA . <br /> i Cmt7NI'Y 4F P�iSCp <br /> 3 vorUwoct'e tlrnrirsdf�'iaaR)aWa�/Pmtr�alMnwgc <br /> w� <br /> �t�C.I�S (�� <br /> �PzmtNamc <br /> T'he fotsgoing instrument was acknawledged b�fore ma:��dey of 1�v � ��✓�0�bY !,i�T�'�'uS <br /> TY..��,5, a5 �S�.v� {iypc ofet�thorsty,e.g.af�ccr,fcustca,ettamey <br /> in fact)for � {name ofparty on LeheEf af whom L�,strvmen ccuted}. <br /> �,,�^..�""' <br /> PecsonalYy ICnawn�OR Produced Ideut3ficufloa Natmy 5igna��' <br /> � Type a[lclentificatian Praiueed i4ame(grint) B��.�'� �" ���7�:+z- <br /> t <br /> I <br /> i Verificadon p�ssuant to Section 92.525,Florida Staune.c.Under penal�es of pezjim/,L decfare that I hev ihe foregoi and tfiat <br /> . the facts statcd in k ase trae ta the best af my knowiedge end betie� "'""' <br /> � i���` Signnnue oCNeeuut P ou Sigoing pbove .` <br /> �) �:�'w,'M JOSHUA A.SCNULZ <br /> ,; _ ;, Not�ry PuDlic•St�te ol florida <br /> �x �otnr�iistotl�FF 134897 <br /> � .'�''� �'� My Comm.Expin4 Oct 16,2018 <br /> I ''��,mn���`' <br /> � <br /> I <br /> � <br />
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