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16-17923
Zephyrhills
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2016
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16-17923
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Last modified
7/20/2017 8:41:29 AM
Creation date
7/20/2017 8:41:29 AM
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Building Department
Company Name
CITY OF ZEPHYRHILLS
Building Department - Doc Type
Permit
Permit #
16-17923
Building Department - Name
CITY OF ZEPHYRHILLS
Address
39380 B AVE
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� N Q!T I C E O F CO M M E N C E M E N T this space reserved for recorder <br /> �, <br /> THE UN�DERSIGNED hereby gives notice that improvement (II�II��II(�If I�+Illl�lll�lllll�ll�llllllllillllllllllllllll <br /> will be made to'certain real property,and in accordance 2016+179600 �� <br /> with Chapter 713, Florida State Statutes,the following <br /> informa�tion is provided in this Notice of Commencement: <br /> Key No.�; Permit No. <br /> 1. Descri,iption of Property: Parcel No. � —2(,�2/ — Q600 — 0010 a — ao �� <br /> Legal�descrlption of the property anc��street addreprtsy�/s if a aila p7�/�3 Z S� 3 �-�,G 7 L 1 7 [ riL 3 3 r <br /> v�i7'��!�r�l G 0 /�^�^ !!' �I Lr�i Y `{r i'�� {r�J <br /> 2.General Description of Improvement: Re-Roof <br /> 3a. Own;er Information: Name: `J d�i� � d,�(A�itite� Ze � -.e�a�� �.v ;.,u�s..dr�` <br /> Address�! �3�3 2 0 � ,A�d e. City: ZQ � �,-�G State:.� Zip: 33s`y2. <br /> 3b. Interest in Property: Name of Fee Simple Titleholder (If other than owner): • � ' <br /> Address1 City: • Stafe: Zip: <br /> 4. Contractor: Name: JK Johns Roofing&Sheet Metal,Inc. <br /> Address�' 3323 Mustang Dr. City:Brooksville State:FLA. Zip:34604 <br /> Phone: ;352 7548600 Fax:352 7548604 Email: Roofing@JKJohnsRoofing.com <br /> 5.Surety: Name <br /> Address�# City: State: Zip: <br /> Amount��of Bond:$ Phone: Fax: <br />, 6. Lende�r: Name <br />' Address�� City: State: Zip: <br /> Phone: �� Fax: Email: <br /> 7. Perso��s within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by <br /> Section 7i�13.13(1)(a)(7),Florida Statutes: <br /> Address';; City: State: Zip: <br /> Phone: �� Fax: Email: <br /> 8. In adc�ition to himself or herself, Owner designates of <br /> to receiv�a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> Phone No.of person or entity designated by owner: <br /> 9. Expira�ion date of Notice of Commencement Date: <br /> (the expi�ration date is 1 year from the date of recording unless a different date is specified.) <br /> WARNING TI O OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OFTHE NOTICE OF COMMENCEMENTARE CONSIDERED IMPROPERPAYMENTS <br /> UNDER CHAPTER 713,PART 1,SEC 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO YOUR PROPERTY.A NOTICE OF <br /> COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR <br /> LENDER ORIAN ATTORNEY BEFORE COMfVIENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> �� � ' <br /> X: <br /> ignature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Title/Office <br /> I ***Signature Required by same person below by'X:'mark*** <br /> STATE !� F: Florida COUNTY OF: Pasco <br /> I The foregoing instrument was � O-� Day Of ���e� 201�O�aBy �� 1� ��rYe� <br /> acknowledged before me this ��/ <br /> As II e c.�► C�,e �r For 2 �l <br /> (�ype of authority e.g.,o ' e,trustee,attorney in fact) (N me of party on behal <br /> Print,Type or Stamp Name of Notary ;zo;"�P"���; Notary Public-State oi Florid <br /> x' « :•:My Comm.Expires Jun 10,20 7 <br /> Si ur �of Notary =;;; "o:= Commission#FF 025868 <br /> Personall�l�Known Or Produced Identification ✓ Type of Identification Produ d:�''����� nde Thro gh ' nal Natary As n. <br /> Verification pursuant to Section 92.525,Florida Statutes:under penalties of perjury,I declare that I have read t e oregoing an that the facts <br /> stated in i�t�are true to the best of my knowledge and belief. <br /> X: II �Rcpt:1814886 Rec: 10.00 \ <br />� Signature of Natural Person Signing Above DS: 0.00 IT: 0.00 <br /> 11/10/2016 E. M. , Dpty Clerk <br /> PHULA 5 0`NEIL,Ph D PF�SCO CLERK & COMPTRGLLEk _ <br /> 110R BK 1����m PG ���� _ <br />
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