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18-19290
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18-19290
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Last modified
2/17/2021 8:51:05 AM
Creation date
9/24/2018 7:28:27 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
18-19290
Building Department - Name
LANE-WORLEY,BRENDA
Address
5613 19TH ST
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1 e I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII � <br /> 2018023077 I I <br /> ' • 'i <br /> Pertnit No. Parcel ID No I I ��-�C ���^�O 1�+_ I��oo`O O�O I' <br /> I <br /> NOTICE OF COMMENCEMENT � <br /> State af Florida County ai Pasco � <br /> - THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida-.Statutes, i <br /> lhe following information is provided in this Notice of Cammencement " p p� <br /> 1. Description af Prqperly: Parcel Identification No.��-2E2�-001a11200-0010 N Uf�1 � <br /> , � • 'O <br /> SVeet Address: 5613 19TH ST ZEPHYRHILLS R 33542-0434 ��� � <br /> \• F+ <br /> - 2. General Descriptian of Improvement�er ofr&ra-roof N O(O <br /> O O W <br /> , � B <br /> (O <br /> `i 3. Owner Intartnation or Lessee information if the Lessee contraded for the improvement: Ri N <br /> y LANE-WORLEY BRENDA <br /> 3� <br /> 12503 RIVERGLEN DRame RIVERVIEW FL • . �� <br /> Address Ciry State n <br /> residence ��� <br /> Interest in Property: ��r <br /> Name of Fee Simple Titleholder `� �� <br /> (If different from Owner lisled ahove) n p <br /> �• m <br /> Address City State � <br /> 4. ConVactor. Wayne Gonzalez Roofing Contractor � <br /> Name F <br /> 10802 Bloomingdale Avenue Riverview FL � <br /> Address City State <br /> � Contractors Telephone No.. �813)&53-2279 <br /> 5. Surety: <br /> Name ' <br /> @'o <br /> Address ' City State N� <br /> Amounl of Bond: $ Telephone No.: � �a <br /> � - �N <br /> 6. Lender. �N o <br /> Name <br /> �z <br />, " Address City� ' ; State �OD� � <br /> Lenders Telephone No.: �,,,,� <br /> , �N T I <br /> ��_ ■■■ i <br /> 7 Persons within the State of Florida designated by the owner upon whom notices or other documenLs may be served as provided by ���rrr...��� o , <br /> Sedion 773.73(1)(a)(7),Florida Statutes: � ���i ' <br /> � D <br /> Name �� � � <br /> 0 <br /> . Ct N� <br /> _� Address City Stale m� <br /> � Telephone Number of Designated Person: �� � <br /> ��w <br /> 8. In addition to himself;the ovmer designates of_ � <br /> to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. ��� <br /> Telephone Number of Person.ar Entity Designated by Owner• A <br /> 0 <br /> 9. �iration date of Notice of Commencement(the e�iration date may not be befare the completion of consWction and final payment to the � <br /> . m , <br /> contractor,hut will be one year fram the date of recording unless a different date is specified): ' <br /> WARNING TO OWNER: AM'PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOl10E OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 773, PART 1, SECTION 713.13, FLORIDA STAMES, AND'CAN <br /> RESULT IN YOUR PAYING NVICE FOR IMPROVEMENTS 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 fhat I haue read the foregoing notice of commencement and that the fads stated therein are true to the best <br /> of my knowledge and belieL " - , <br /> STATE OF FLORIDA � . � <br /> COUNTY OF PASCO ' <br /> Signature o Ovmer ar Lessee,or Owners ar Lessee's Authorized i <br /> O(ficedDirectorlPartnerlManager <br /> Q�/� - <br /> Signator�+s Tille/Office <br /> The foregoing instrument was acknowledged before me this�day of I vb� ,20��by ��1 K� � � w�('� <br /> as O W r�L.,f� (type of authority,e.g.,officer,Wstee,attomey in fad)for <br /> (narne of party on ehalf of whom i�nt was executed). <br /> r <br /> Personally Known�OR Produced Iden6ficatian❑� Notary SignaturP,G�� <br /> Type of Idenfification Produced Name(Print) ��, � <br /> � <br /> _ :_;��"��"''��; JACQUELINE SaSA <br /> -- , i•' N1Y�OMMI6�ION#��fi4g67B _ <br /> 3'�;���„� �XPIF�����J�lly�4� �019 <br /> - , .....,.: <br /> - . �M1„� <br /> �n��nn <br />� (4071368•0183 �IofldgNota 5eNice.com <br /> wpdatalbcs/noticecommencement�c053048 <br />
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