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16-17804
Zephyrhills
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2016
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16-17804
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Last modified
7/19/2017 7:31:48 AM
Creation date
7/19/2017 7:30:00 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-17804
Building Department - Name
PRICHER,JERALD
Address
5138 20TH ST
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- I IIIIII IIIII IIIII IIIII Illll IIIII IIIII Illll IIIII IIIII IIII IIII <br /> 2016151186 <br /> � : - - <br /> . Rcpt:1803278 Rec: 10.00 <br /> " DS: 0.00 IT: 0.00 <br /> 09/23/2016 E. M. , Dpty Clerk <br /> PRULH 5 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEk <br /> NOTICEOFCOMMENCEIV�NT 09oR3BK ig43�m P� 210� <br /> Permit No. <br /> Propaty IdeMifieetlon No. ��,('oZ�o"o�( -�DD�'D a g�O '��p p <br /> 1HE UNDERSIGNED hereby give infomu yau tMet the improvemeot wlll6e made Lo e�rain real PrcpeRy,eed 3n euordmee with <br /> See6oa T13,13 of the Fiorida Statrrtes,the following mformatlon is provlded in d�ii NOTTCE OF COM1III,+NCEMENT. <br /> 1.Desaiptioa ofproperty([egaldasd�rrvn: 1;1',ZL-:1 I-b000- O�.Sroo-000fl ' <br /> e)scs�enaa�s: �i i�S? �n�-* s+. z�ah ,�h, Cq c_ ��zS - :LLS <br /> 2.aenetal desctiption of imp�vemenb: <br /> Y'DOm Q1��.,�{-lppl uJ CrGGn fooM <br /> 3,Owna Info�ma$on <br /> a)Neme�daddress��fQi�� ��C�IGr rJ I38 ad�' ��'; Zr,�h�r6���, F�L 33S'��5218 <br /> b)Name ahd eddress of fee s�mple dtleholder(if othei thaa oxmer) <br /> e)Inhc+eat ia P�P�Y <br /> 4.ContrectbrlafometiDu . <br /> a)Neme�d address:, Du�n P►� <br /> b)Telephona No.: Fex No.(Opt.) <br /> S.SuretyInformedon � . <br /> a)2Tema eed edd�ess: <br /> b)Amowit ofBond: <br /> c)Tolephono No.: • ' F.ex No.(Qyt) <br /> 6.Lender <br /> e)Nema�d ed�ess: <br /> • Phone No. <br /> 7.IdenUty of.peison within the Smte of Florida deslgnated by owac upon whom notiees oF othv doc�eats may be eerved; <br /> a)Name ead addca+s: � <br /> b)Talephoae No.: ' F�c No.(Opt) <br /> 8.In addidon m himsel�owner designates t5e followririg pereon to�ecoiye e eopy of the Lieanr's Noflce av�provided in Section <br /> 713.13(I)(b�,Florida Smmtd: <br /> e)Neme end addross ' <br /> b)Telephone No.: �• ' .Fax No.(Opt) <br /> 9.Facpl�adon dete of Notice of Commencemerit(the expiwtioa date 1�one year frba}the date of recordfng un2ess a dif£etmt date ts <br /> specl5ad): <br /> WARNING'I'O OR'NER ANY PAYMEIV'CS 1SlADS BY TH$OV�NBR AFTEIt T��+]CPIItAT[ON OF THE NOTICE OF <br /> COMMENCEMEIVT ARB CONSID�D A1iP'ItOPER PAYbI1�N'I5 UNDER CBA�TER 713,PART 1,SECTION 713.13, � <br /> FI:ORIDA STATUITZ3;AND CAIQ R$SULT ai YOUR PAYING TWICE FOR DY�ROVxMEN[S TO Y01Jlt�ROPER'1`Y. <br /> A NOTICE OF CU114VIL+NCEMSNT MUST BB RECORDED AIVD POSTEb ON THE JOB SITE BEFORE TEiE PTRST <br /> INSPECTION. II{1fOU IIV'PEND TO OBTAIN FIIVAiQCII�1G,CONSOLT YOilk LENDER OR AN ATTORNEY HEFORE <br /> COMiHENCIIVG WORK OR RECORDINQ YOUR NOTICE OF COMMENCEMENT. . <br /> SfATE OF FLORIDA � <br /> COUIYIY OF PrLSCO /� <br /> ' � l�ea¢ce of Owsv ot �Authortmd 0ffica/Directv/Pamv/Mmegar <br /> ,Tern.ld_ �r��He� <br /> Pdot Nume <br /> The foregoing ias�ument was aelmowledged befaas me this a3 dey of�'� . .20�by �+�-� C:VI,f'� <br /> ea i vqse l F (type ofeathority,ag.officeq 6ustee,aGomey <br /> ia fact)for (mme af party on behetf of whom ioah�aae�wus euevOed). , <br /> Pe�sonally Knowa_OR Produced IdendScerion ✓ Not�y Si�efure `�� �r �� � <br /> TypeofIdeatificationProduced�or��e����VC�S �IedV�,rCName(print) ��-►'1�-1 , _ �f�b �� <br /> Varificadon pursuent to Section 92525,Flodde Stah�tca.Under penellfes of perjwy,I decl�e that I heve mad the forogoing aad thet <br /> the facta stated in it aze ttue W the best of my Imowledge end belie£ <br /> , , st orrrem.���s�nm� _ <br /> PoFMSMOCmdtLW - <br /> ;=�''"Y°`��; NANCY J BROOKS <br /> i" " MY COMMISSION#FF093699 <br /> • -- ;'����o�,�� EXPIRES February 18,2018 <br /> �ao7►3se-o153 FloridallotaryService.crom <br />
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