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16-17851
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2016
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16-17851
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Last modified
7/19/2017 2:24:53 PM
Creation date
7/19/2017 2:24:52 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-17851
Building Department - Name
BURDGE,PATRICIA
Address
5116 17TH ST
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,---_-- <br /> � � � Illlllllllllllllllllllllllll�llllllllllllllllllllllllllll�Il <br /> 2�16160390 <br /> ,--- � <br /> ``Rcptc1807394 Rec: 10.00 <br /> � - pS: 0.00 IT: 0.00 <br /> 10122/2016 J. R. , Dpty Gl�rk <br /> PqULA S 0'NETL,Ph D PASCO CLERK & GOMp7R R <br /> 10I12/2026 q09:16am 1 of 1 <br /> � N�TT��}E'C+I��NL�MENT OR BK �'T4,� PG ^���� <br /> Pecmit No. <br /> Propecty Fdentification No.�I�2�-Z I.�t.�d j 0-2-�G�--D�Y-t) <br /> THE iJND]�2SIGNED hereby givs iaforms you that the impzovemeni will be mede io ceztain reet pmgerty,and'm accordanae with <br /> ; 3ecrion 733.13 af the F2orida 3tadrtes,ihe fottowing infrarmahian is prorided'm ttiis IYOfiYCE OF CO�N'CENtE2V'£. <br /> 1.Descriptian ofproperty(lega[descrtptlon:)�JaC�-��c7Yt �,, 1�1�Jri.S�t�n 2.-!r�So`k.�lG����LvLy� Z(=�GZS] <br /> + -z� a}Sh+ae#Address: 1 �^��h , FL - � <br />� �-�2,Oenelaldescripdanofimprovemenb:���2 , Q--� <br /> ;.�3.Owaer information <br /> �a)Nemcandaddross: � rfCiQ(-I•I�ulr.�C1-f .SII(nl��� •2-�P1�h�IIS ��-�.i'`iya-- <br /> � b)Name aud addtess of fee simple titleholder('�#' er fl�an owner) <br /> a)Intemst in'P�P�T�Y <br /> .-�l 4.Con�ctbrInformetinn /�� • <br /> a)tlatue amd adaress:l_--G,_"�"/TCi G /-� .��a/G{Q�' S I I �n.►�^I�`�. `Zv��h��( I�FG.. 33�L1 a- <br /> b)Tetcphone Na.: �t,�-')�f�-� ,D� Fan i�io.{Og�} <br /> � S,Suraty Informatian . <br /> � e)2Vatne end'eddresss <br /> � b}.A:nott�tofBond: , <br /> i � c}Te3ephane No: � ' Fax Na.(dpt.) <br /> ' 6.Lander <br /> � a)PTame and address• <br />, Phone No. <br />� 7.Identity of person within the State of k7orida�lesignated by awner upon whom norices or other documents may be servecl: <br /> s)Name and address� <br />, � h}Telephaae Na,: Feac Nci.{Opt.) <br /> 8.Tn addiaon to himsel�owne�r designates;he followirig persoa to receiye a cppy of the�,ieaor"s Notice as provided in Section <br /> 713.13(1)(b�,Florida Staintas: <br /> ! ' a)Name and address: " <br /> b)Telephone No.: � � Fax No.(Opt) <br /> 9.ExpiraHon date of Notice of Commencomorit(the expiration date 3s one y8az frbm th�date of recording w►less a diffeient date is <br /> sgoc3fred}; <br /> ! WAI2PIIN�'I'!?�WAtEYB� �NY�PAXMEl1'PS l�dAID�BY'I`�iE OViR�I�Yi AFPEYt TI�EX'kIItA7CIOTY O�T�i�2O�'ICE 4F <br /> � CCIMMENCEIV�:N'T k:dtE CONSIID�3KED Il9?PRmP�Fd FA719��lVTS 171'd�Ept�CSAPTF'.R 713,PAdtT Y,SECI'IO1V 713.13, <br /> � FI:dRIDR.S'I'ATUT�S;AND CAN RESULT IIV YOUIt PAICIIVG TW14:E FOR INdPR(3VEMENPS TO Yl>TJ12 PROPEYx9C1'. <br /> I � A NOT'IL'L QR COIVIM�IYCEMEP�T MUST BE RECORDED�.IYII POSTED OPI'I'HE JOB SITE�EPt}�tE THE FIRS'd' <br /> INSPECC�ON. �F'XCDU INT'ENY3 Ttb 43BTAi'�T RINt�t!(G'�+1G,�OtVSLiY.T YOUIt bENDER OY�rAN ATTORNEY BEFdR.E <br /> , I �d1VIiVIENCIIYG W411RIC O$12ECiD12DWG XdYJR P7QTICE OF COMMENCEfld[ENT. , <br /> t STATE OF RLU�A a <br /> courrrY oF rmsco „� � ; - r=c�^ �4'�.� <br /> Si of dwuv or Ovm, 'rt�s Au � Offiacr/DJrect � <br /> , �-#�;c� �. A ,J„� �� �-� <br /> �Print Name <br /> The�'a oing ins ent aclmowledged hefare me this,�4`�day of �� `�� by <br /> � �Q���(":t2 L E1t-r�� as ..�,t e of auth ' ,ag.officer,�ustee,sttomey <br /> , in fact)for (name of pazty on behal of wh m insttumeat,was eneout��. <br /> � Personslly Knozvn�OR Praduced IdentiSsatioa� Notacy Signafure ��� � . <br /> � Type of Fdea#iftca#ion Produced ��-��fl•Q-✓.Si.�''f�k�✓ I�Iame{pr�t) �� it�i�c nf-' P� <br /> I � <br /> ' Yorfficatioa pursvaat to Section 92525,Florida Statutes.Under penshies afpeTjury,I declare that I have resd rhe fa:eegoing und thai <br /> ' the facts stated in it are true to the best ofmy Imowledge end belie£ <br /> i <br /> s;gnazure otrfaW:al rrnon s;s�+g ntwvo- <br /> FORMuAVOC,rvaC�DOI ;�.=un'�v"Y"e.y'�yt�`ye <br /> � ::�`•�'.°y�',,. JACQUEL��� ' <br /> . _*: :� Cammission#8��� <br /> FF 160422 <br /> ''���„�F;40.P� Expires DeCember 12,?p;b <br /> . r���d BondCd7hntTrmFtintnsur:ur.a$DQ-3#5-:'Ai9 ' <br /> � u*.....a..+.wy�� <br /> w+�..w <br />
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