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18-20358
Zephyrhills
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2018
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18-20358
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Last modified
3/18/2019 7:28:22 AM
Creation date
3/18/2019 7:28:21 AM
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Building Department
Company Name
ZEPHYRHILLS MASONIC LODGE
Building Department - Doc Type
Permit
Permit #
18-20358
Building Department - Name
ZEPHYRHILLS MASONIC LODGE
Address
5950 12TH ST
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� 18177192 <br /> —T---- -------- <br /> dcpt:1999105 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> NOTICE OF COMMENCEMENT 10/18/2018 L. S. , Dpty Clerk <br /> Permit No. dAULA S.O'NE1L,Ph.D.PASC0 CLERK & COMPTROLLER <br /> 40/18/2018 12-38 1 Of I <br /> Property Identification No. OR BK 980Z' Ps 3408 <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section <br /> 713.13 of the Florida Statutes,the followinginformation is provided in the NOTICE OF COMMENCEMENT. <br /> I. Description of property(legal description:) zePhw Loo(gg /VO /Pig' P'4-6n" <br /> a) Street Address: b--q 5e) 1;2" ke j2hi 1EL— '319 5&t 1 <br /> 2. General description of improvements Aev-0—ro o <br /> 3. Owner Information <br /> J) Ka <br /> a) Name,and address: <br /> b) Name;and address of fee simple titleholder(if other than owner) <br /> c) Interest in property <br /> 4. Contractor Information <br /> a) Name and address: SKM&C0 �upLL-Cl P-06oy,-3-5 Ab M fet` L- 3 Y& <br /> b) Telephone No.: Fax No.(Opt.) <br /> 5. Surety Information <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No.(Opt.) <br /> 6. Lender <br /> a) Name and address: <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; <br /> a) Name and address: <br /> b) Telephone No.: Fax No.(Opt.) <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 /> a) Name and address: <br /> b) Telephone No.; Fax No.(Opt.) <br /> 9. Expiration date of Notice of Commencement(the expiration date is one year from the 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 <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, <br /> FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY:A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORETHE FIRST <br /> INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. <br /> STATE OFFS <br /> COUNTY OF41ASC-0, OCQXLA.- ,Alt <br /> Sigfiature OF Owner or Owner's Authorized Officer/Dircctor/Partner/Managcr <br /> . 04-211-21 4ZVOAn <br /> Print Name <br /> The foregoing instrument was acknowledged before me this 61"day of QC' 20 by 'a <br /> The <br /> as Worc%�tkj, (type of authority,e.g.officer,trustee,attorney in fact)for <br /> �yy,t&,Oxwc— LaaQa 14K 1 _(name of party on behalf of whom instrument was executed). <br /> Personally Known OR Produced Identification Notary Signature 4VXAA Q <br /> Type of Identification Produced—'Dl— Name(print) tA%-&01-e Net (It.. <br /> ij <br /> Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated <br /> in it are true to the best of my knowledge and belief. <br /> FOR11SINOCmd2007 <br /> Sig6tum ofNfrWral 11—h Signing Above <br /> NICOLE McNALLY <br /> NOTARY PUBLIC OF NEW JERSEY <br /> 'I.D. # 2399958 <br /> My Commission Expires 902020. 1 <br />
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