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17-18964
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2017
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17-18964
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Last modified
7/31/2018 2:08:21 PM
Creation date
7/31/2018 2:08:20 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
17-18964
Building Department - Name
GREEN JASPER LLC
Address
5536 5TH ST
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� �/��/��y`���'� � --J�'��� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> :�G'D 9 O'1�'��T ���v�� 2017163029 <br /> � �E� l�r� ������ l� �3�3'f- I <br /> PermilNo. ParcellDNo !/'���! ��Ud�(J"(/�/0�'�Q��� I <br /> NOTICE OF COMMENCEMENT <br /> State of ��12/,(�'� County of �!7�E� <br /> THE UNDERSIGNED hereby gives notice that Improvement will 6e made to certain real property,and in accordance with Chapter 713,Florida Statutes, <br /> the following infortnation is provided in this Notice of Commencem/er�t: y /' <br />� 1 Description of Property: Parcel Identlficalion No. /�L.�6����v��'������ �`v��Q <br /> SVeet Address: � � J "" ���� _Cs f/�� �L .3,.3�� <br /> 2. General Description of Improvement � /�(!� <br /> 3. Owner Information or Lessee infortnation if lhe Lessee contracted for the improvement: <br /> G�L� .l`��s/'/�L �� � <br /> �X��Z NaC.�v't/�� 0'v/�� S� /f/�! �J �'/T J��! �L <br /> A dress City State <br /> Interesl in Property <br /> Name of Fee Simple Titlehoider. <br /> (If different from Owner listed above) <br /> Address �N�y ��J,���� City Stale <br /> 4. Contractor. <br /> ��D�me�' L/�r�.tJ,� �}1/d� �"�1,�9 �.31v/l� �L <br /> I Address 7 �-7/ Ciry State <br /> Contractor's Telephone No. ��5 -�/G' ��� <br /> 5. Surery• <br /> Name <br /> Address City State <br /> Amaunt of Bond: $ Telephone No. <br /> 6. Lender <br /> Name <br /> Address City State <br /> Lenders Telephone No: <br /> 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by <br /> Secti 713.13(1)(a)(7),Florid,a`Statut s: <br /> �/�ir�io�✓1�a /¢ .J%/�l�7vg� <br /> r--- <br /> Name <br /> - �l0 9 �1 co� ,�r�i� Ga�'� �'.�'��"L :3��� �L ' <br /> Te ephone Number of Designated Person: o l� �/ /����� � State <br /> 8. In addition to himself,the owner designates of <br /> to"receive a copy of the Lienor's Notice as provided in Seclion 713.13(1)(b),Florida Statutes. <br /> Telephone 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 /> contractor,but will be one year from the date of recording unless a different date is specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIR,4TION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN <br /> RESULTIN YOUR PAYING TWICE FORIMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT <br /> Under penalty of perjury,I declare that I have read the foregoing notice o�jqrnmencement and that the facts stated[herein are we to the best <br /> of my knowledge and belief. � <br /> STATE OF F�ORIDA i - <br /> COUNTY OF PASCO � <br /> Si�a�lu Owner or Lessee,or O e�'5 or Les ulhorized <br /> Officer/Director/Partner/Manag � <br /> Signatory's Title/Office �, <br /> The foregoing instrument was acknovAedged before me this�day of L�,Y20��by��rm���'U \ I (1��i!L�Z <br /> as q � G (type of authorily,e.g.,officer,trustee,altomey in facl)for <br /> ���,� C{C . L_I (name o a on Behalf of whom insl� t wa�wted� <br /> � ' 9 <br /> Personally Known❑OR Produced Identification�n i Notary Signature <br />� Type of Idenlification Produced��,��`J L'ZI lQ��V'Name(Print) ,C.J��C� C�C'� ' �'i`(� <br /> Rcpt:1901852 Rec: 10.00 <br /> DS: 0.00 I T: 0.00 .�;s;;;��- DEIDAA AODGEAS <br />' 10/17/2017 K. D. K. , Dpty Clerk =�, 4�: NotaryPublic-StateofFlorida <br />' : Commission N GG 074102 <br />, `:;�' �° My Comm.Expires Mar 5,2021 <br /> �RULR S 0'NEIL,Ph D.PRSCO CLERK & COMPTROLLER ` I'��:;°P�O��� �,�throughNatlonalNolaryAssn. , <br />' 10/17/2017 09:24am 1 of 1 <br /> OR BK 961 g P� 2513 <br />
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