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17-18379
Zephyrhills
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17-18379
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Last modified
12/19/2017 9:53:59 AM
Creation date
12/19/2017 9:53:59 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
17-18379
Building Department - Name
SHUTT,RAYMOND & JEANNE
Address
5531 18TH ST
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� !li�ili illll�ii�i illll II�II��I�I Iilli Iilil ilill IIIII iill lill <br /> 2017056353 <br /> �- <br /> Per,a�it Number F2c�st:1�549G�� Rec: 10.00 <br /> � Parcel ID Number Q�- - 2�— OOIIQ —l�IOG- �4'l DS: 0.00 IT: 0.00 <br /> 04/17/2017 K. P1. , Dpty Clerk <br /> �IATICE OF COMMERlCEMER97' <br /> Stafe of Florida THIg,qP,EA.ISRcStP,VGDFQrCLERKOF IHcCOU?I CEP,TIFI�ATIO"J <br /> County of Pinellas ' <br /> THE UNDERSIGNED hereby gives nofice that improvements will be made to certain real property, and in accordance with Section 713.13 of the <br /> Florida Sfatutes,the following information is provided in th' NOTIC OF MIVI NCEMENT. ' )� G ' ) <br /> 1.Description of properfy(legal description): � � l�l � �� � ✓�I��S �(� j �� � � � Z �Y%� �-6 <br /> a)Sfreet(job)Address: �j �� � � h ,/h�� S 3 �� • <br /> 2.General description of improvements: RE-ROOF <br /> r; <br /> �: <br /> 3,Owner Information or Les�information if t Lessee c n racted for fhe improvement: /� I ) �jf <br /> � a)Name and address: I/{ � U SS � 1�� � ��iT ,l (/�S ( � 3���� <br /> b)Name and address of fee simple title older(if erent than Owner listed above) <br /> , c)Interest in property: FEE SIMPLE <br /> 4.Contractor Information <br /> a)Name and address: A OLD TIME ROOFING 2636 22ND ST N., ST PETERSBURG, FL 33713 <br /> b)Telephone No.: 727-824-9996 Fax No.:(optional) 727-824-6396 <br /> 5.Surefy(if applicable,a copy of the payment bond is attached) � <br /> a)Name and address: N/A pqUL� 5 0'NE IL F'h D PRSCO CLERK & COMPI'ROLLER <br /> b)Telephone No.: a�/17.12017 1.0:l�am 1 of 1 <br /> U� B� ��i�� P� ���� � <br /> c)Amounf of Bond: $ _ , <br /> 6.Lender <br /> a)Name and address: N/A <br /> b)Teleplione No.: � � ' � � � � � � � <br /> 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section <br /> 713.13(1)(a)7.,Florida Sta#utes: ' <br /> a)Name and address: N/A <br /> b)Telephone No.: Fax No.:(optional) <br /> S.a.ln addition to himself or herself,Owner designates of <br /> to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> b)Phone Number of Person or entity designated by Owner: <br /> 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the <br /> confractor,but will be�year from the date of recording unless a different date is specified : <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE � <br /> CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES AND CAN RESULT IN YOUR <br /> F�AYING 7WICC FCIa IM�i�Cll/�flh�N�'�TG YOUR�hdi'Ek i ir'.i�IVC7 i iCE t�r Can��ii��tCEi���l�iviiis i t��kEc,u�i�ru Ai�u r�s►r�u uiv i i-ic� <br /> INSPECTION, IF YOU INTEND TO OBTAIN�1NANCWG,CON5UL7 YOU�t L�ND�R Ci12 AN A7T'ORN�Y�FOFtt�Gidl'NT��Zi�i 1G T�Or�K U�C <br /> RECORDING YOUR NOTICE OF COMMENCEMENT. ` <br /> Under penalty of perjury,I d �t I ha read the forego' g notice of commencement and that the facts stated therein are true to the best of my <br /> knowled and belief. <br /> � � � /v .K-�'-r4 ,n .7 r% ��ry � �/ - <br /> (5i wner or e ners or Lessee s ori _ f6cerlDirectodPartnerlManager) (PrinF Name and P ovide Signator�s1itlel0ffice)� <br /> The oregoing instrument was acknowledged before me this � day of V� ,20 <br /> by �..,�c,��� �/„ v� 8S ���j � �uthority,e.g,ofiicer,trustee,at omey in fact) <br /> for ,as - <br /> (Name of Person) (typ of au ority,...e.g.ofticer,trustee,attomey in fact) � <br /> for (nam of rty behalf f who ins u ent was executed). <br /> Pe�sonally'Krown ❑ Produced ID <br /> Type of ID Notary Signature <br /> !/ Print name <br /> ro,��pY Pu�c PATRICIAV.UPE C,i <br /> t NP!CpMMISSION#GG 033245 <br /> * �. EXPIRES:September25,2020 <br /> ��ORt��@o Band�dThtuBudgetNal�ryServices <br /> �6 - <br /> L <br />
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