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17-18764
Zephyrhills
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2017
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17-18764
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Last modified
7/27/2018 10:13:40 AM
Creation date
7/27/2018 10:13:38 AM
Metadata
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Template:
Building Department
Company Name
BEALLS OUTLET
Building Department - Doc Type
Permit
Permit #
17-18764
Building Department - Name
ZEPHYRHILLS PLAZA LLC
Address
7425 GALL BLVD
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i " .. .._—....._ <br /> . , ...—...------..------- <br /> , ...—....--___� <br /> �, . e ' ��—. —.— ... <br /> —� � r������iii�����«i��ii iii�i����e������f��i i���i�id����ii f��i <br /> -' - 201712fi222 <br /> ` ' � — <br /> R�pt:i$859�4 R�c: 10.00 <br /> DS: 0,00 IT: 0.00 <br /> @8/@912017 K. R. M. , Dp�.y Clerk <br /> Key No. Permit No. <br /> MOTICE.C?F Gf�IVlIl�E(dCEt1REP�IT ,�.�/�.r f�i{�S ���Z�l <br /> TFIE USVQERSIGNED hereby gives natice that improvement wili be ���J �-+��'`' ���� <br /> Made to certain, and in accordance with Chapter 793, F{orida State ��yr� ,Is �.,� 3 3��1 <br /> Stakues, the fotlowing information is provided in this Notice of �-2 <br /> Gommencement: <br /> .�� �as--a 1 -�����6QGOCa - � a-��v <br /> 1. Descrip#ion of Property: Parce! No.: • <br /> {Lega! description af the property and street address if available) <br /> 2 Gene�al Description af lmpr�vement: � a�� �� ,.,��Q <br /> 3. Owner lnformation: Name- 2� C' ; S �-7C�, L.- <br /> Address:.�2.3,� R�/rime!`��c.Q ,�.� City N/z �n� /��„ State�L Ztp 3 y�o U.b <br /> s-Interest in Property: Fee Simpie <br /> Name and Address ofi Fee Simpie Titlehalder(lf other than owner} : <br /> 4 Gontractor: Name: _Alan's Roofinc�, Inc <br /> Address: 14498 Ponce De Leon Blvd Gity Braoksvi!!e State FL Zip 3460'1 <br /> Phone No. 352-686-3330 Fax No. 352-754-89Q2 <br /> 5. Surety: Name Rmounf of Bond. $ �°� <br /> - Address: City Sfate_Ztp <br /> I Phone No. Fax No. <br /> 8. Lender: Name: <br /> Address: City State�Zip <br /> Phone No. Fax No. m� <br /> � 7. PersQns wi#hin the State af Florida designated by Owner upon whom notices or other documenfs may be o°�°� <br /> served as provided by Section 793.13(1)(a)(7) Florida Statutes. �°�N <br /> ' .Name ��o <br /> Address• City State�Zip �m <br /> Phons Na. Fax No. '��'`�� <br /> 8. !n addition to himselt a� herself, �wner designates N(A of ,(,f�m s <br /> ;��v <br /> To receive a copy of the Leinar's Notice as provided in Sectian 713.13(1}(b}, Florida Statutes, -•.,ja�N <br /> 9. Expiration date of Notice of Comrnencemenf (the expiration date is 1 year of recording uniess a different 3 0 <br /> date is specified.) i ��,,� <br /> WARNItQG TC!OWNEfZ:ASVY PQYMEN7S MADE BY THE QWIVER AFTER THE EXPIRATION OF THE PIOTICE OF CCiMMENCEiNENT ARE � <br /> CONSIDERER tMlPROPER PAYMENTS UNDER CNAP7ER 713,PART 1,SEC 713.'13,FLORIDA STATUTES,AND CAN RESULT IN YOUR � <br /> PAYING TWlCE F(�R 1MPf20VEMENTS TO Y UR PROPERTY.A NOTICE OF CQMMENCEMENT MUST BE FtECGtRDED AMD PQ5TED ON THE �.�y� <br /> JQB 51TE 6EFORE THE FIRST INSPEGTIO .IF YOU tNTEND 7f3 OBTAtN FtNAMCtNG,CpRSULT WtTH YOUR LENDEft DR MN A7TCiRNEY � <br /> SEFORE COMMENCING WORK QR RECO IMG YOUR NOTICH OF COMMENCEMENT. �j ~ � <br /> .�I'3 Gjp �' <br /> x _ � <br /> ; r <br /> Slgnature of Owner or C3wner`s Aut arized Qtficerlpirec2otlPartnertManager Sigtla Ory's Title/O�ce r- <br /> "'Signature Required by same etow by'X"mark••• - \ � � <br /> Stale of '4�"'�����l�`� County of ���N��,`� � <br /> /1'� ''1� � r� . <br /> The forgoing instrument was acknowledged before me this day of,1�,24!�by t�5 D O�ll t'y J� �G!�f o,f� <br /> p e (P�inte name of person acknowledging) <br /> as !�{�.' �+ for Ca �' G <br /> (7ype ot authoritg e.�' ,�e,attorney in fact) {Name �ed7 <br /> —�D ,,�*qYP��rei LlNDATERRlTO <br /> Signalure of Notary Print • '�;' •:,M �I��$� t of Notary <br /> Persona(ly known�,!OR�Produced(dentification =>� �0.:ExptresOctober9,2020 <br /> Type of Identification Prod c�d: s''No;;;°.'•`'� BondedThmTroyFainUswance80D-385-7019 <br />� Yerificat'son pursuaot ta Se on 92.525,Florida Statutes:under Pe�alties of perjury,I declare that I have read the foregoing and that the facfs <br /> I siated in it are true ta e st of my knowledge and belief. <br /> X <br /> Signature of Natural Perso Signing Above <br /> ----- � <br />
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