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18-19627
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18-19627
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Last modified
2/7/2019 9:19:15 AM
Creation date
2/7/2019 9:19:14 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
18-19627
Building Department - Name
JACOBS,CHERYL
Address
5628 5TH ST
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}� This space for use by Clerk of the Circuit Court only. I llllll lull 1111611111I1111 Illll lull lull lllllOdell Illl[III <br /> 11? 2018067770 <br /> Rec: 10.00 - <br /> # NOTICE OF COMMENCEMENT Rcpl '1950777 IT: 0.00 <br /> DS: 0.00 p t Clerk <br /> Permit Nwnber• 04/23/2018 K. M, . p Y <br /> Tax Folio No. <br /> ? <br /> The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the <br /> t Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. <br /> i? q <br /> # I. Le at Description of rpperty(street address 7-required: Z 6��-1 Q t p b3 f d d d t Q <br /> �►.2 f� G�7''11 �rJ2�( r, ��E1� t ��Sr r 1!• �J'�J.3 Z• <br /> if <br /> 2. General description of improvements: •.T., <br /> j3a. Owner Name: (/ G `J �J QJ <br /> j. Owner Address: "•+6 2 1w 5 57-&e-g-r� ���r t 5- F t �✓� <br /> 3b. Owner's interest in site: PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER <br /> 3c. Fee Simple Title holder(of other than owner) 04/23/2018 12.17pin 1 of 1 <br /> Address: OR 8K 9713 PG 211 <br /> 3 tM�A30S• ea Lit c.e.5 TnG-J 4. Contractor Name:Address:?DG 5 C-7 0/r.,11L,j f �l) �i ��✓n�(�C Phone: ` <br /> S. Surety Name: Amount of bond: <br /> Address: Phone- <br /> ( <br /> ? 6. Lender Name: Contact: <br /> # Address: Phone: <br /> i <br /> 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by <br /> Section 713.13(1)(a)7,Florida Statutes. <br /> Name: Address: <br /> Phone Number. <br /> 8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b),Florida Statutes. <br /> Name: Address: <br /> Phone Number: <br /> 9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is <br /> 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 113,PART 1,SECTION 711*13,FLORIDA STATUTES,AND CAN RESULT IN YOUR <br /> PAYING TWICE FOR 1MPROYEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE <br /> JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY <br /> BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> i <br /> Signature of Ovlwr or Ace,or Owner's or Lessee's Authorized Officer/Director/Partner/Manager <br /> Signatory's Title/Office <br /> STATE OF FLORIDA <br /> j COUNTY OF MLLSBOROUGH <br /> The foregoing�ins nt was arc o(w dg�e before me this �_ day <br /> „of /"� t' .20 17 <br /> t , <br /> 'CSZ� CJ�. for C L. <br /> l Personally Known OR Produced IdentMeation <br /> Type of Identi&cation Produced V tU U 4Z4- <br /> s <br /> d l.sL. <br /> Signature-Notary Public <br /> 'Under penalties of perjury,I declare that I have read the foregoing and that tho facts stated in it arc true to,the best of my lmowl a and bell f <br /> 1, 1 •4*IM r•'eg.'!.,• 'RONALD H.SMITH <br /> tignatureof'Naturalpfisonsi 'ng Above -' ,: MY COMMISSION#GG i921A0 <br /> EXP{RES:March 4 2022 <br /> _.• JJ <br /> ,(A Copy otany bond must be stncbed at the timeermod.mOrhi,Notice ofromraneeneent) •wyr 2�' �,�/�.�s,� Pub!te Utter � o art <br /> ••.FOp��• �yy�tiSiM/iaY Nttlaty V 1.� <br />
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