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19-21106
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2019
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19-21106
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Last modified
1/8/2020 9:22:44 AM
Creation date
1/7/2020 11:01:39 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-21106
Building Department - Name
THEODORE,FOMBRUN
Address
38611 ETHEL AVE
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INSTR#2O19OSOO.3S OR BK 9878 PG 3423 Page 1 of 1 <br /> 03/26/2019 02:38 PM Rept:2040033 Rec:10.00 DS:0.00 IT:0.00 <br /> Paufa S.O'N66 Ph.D.,Pasco County Clerk Sr ComptrolCer <br /> Cf Of Ztii��S <br /> Permit No. Parcel ID No <br /> NOTICE OF COMMENCEMENT <br /> State of FV rt`'1 x^ County of V <br /> THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes, <br /> the following Information Is provided In this Notice of Commencement <br /> 1. Description of Property: Parcel Identification No. Q a-a•e,�a I 00 t O n bq cj o 6 <br /> Street Address: 3 aft,!! 'f .e l Ave- <br /> 2. General Description of Improvement SCt-LP,Pu 2rJO --. r h Y! <br /> 3. Owner Information or Lessee information if the Lessee contracted for the Improvement <br /> *nYt{d") FDya b e tl IA- <br /> Name /1 1 c 2� <br /> 8�O t Y �.•E t YT r/•G � -�7��'t,.1,f'h i 1 J t <br /> Address city State <br /> Interest In Property: 10 W ri e <br /> Name of Fee Simple Titleholder. <br /> Of different from Owner fisted above) <br /> Address G.YP U r Lt PIPS City State <br /> 4. Contredor. fA u <br /> & Um I�t 1C«� ►2� Z� � r It a ppc 3 3 <br /> Addteas g!�_ ?SS--73d8 01ty state <br /> Contractor's Telephone No.: <br /> S. Surely. <br /> 'Name <br /> Address City State V • <br /> Amount of Bond: S Telephone No.: <br /> 6. Lender. <br /> Name <br /> — -- Address -- -- — -- City - - — State oa <br /> C U. <br /> Lender's 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 /> Section 713.13(1)(a)(7),Florida Statutes: `'erg 4j <br /> Name <br /> Address City State <br /> Telephone Number of Designated Person: <br /> 8. In additionto himself,the owner designates of_ Q F— W Y <br /> to receive a copy of the Uenors Notice as provided In Section 713.13(1)(b),Florida Statutes. W W L-0UL W W <br /> Telephone Number of Person or Entity Designated by Owner, t�( LL J }V <br /> 9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the V to J ~ <br /> coMrador,but will be one year from the data of recording unless a different date is specified): Q z W CV d Q <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT' <br /> RESULTARE OtINIYOURDPAYINGPER TWICE FORNIMPRO IMPROVEMENTS O S UNDER YOURPPROPERTY TIA Ndid O13 FOCOMM COMMENCEMENT MU BE ® = — J <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT >- LL 1-- W Q O <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �W 0 O V U <br /> Under penalty of per)ury,1 declare that I have read the foregoing notice of comm noo t and that the fads stated therein are true to the best =IF— } U LL co <br /> of my knowledge and belief. O W LLII Y <br /> STATE OF FLORIDA in <br /> COUNTY OF PASCO Q tg- © Q J L <br /> Signature of Owner r Le ee,or Owners or Lessee's Authorized ®} �O 0 LL U <br /> Off cer/Dlredor/Partner/Manager W � Z O _I <br /> �— ECLL = ¢ — <br /> Signatory's Title/Office r► I .Uj QQ O } Q W <br /> The foregoing Instrument was acknowledged before me thisA_day of/Dora h .20)9 by f d M R�rt� o pcG rf� LL P zo C) <br /> as (type of authority,e.g.,officer,trustee,attorney In fad)for ®Ik— Z W � � <br /> (nameof party on behalf of whom Instnrme was executed). I—- W z g <br /> Personalty Known❑Q$Produced Identification ] Note Signature e9 t— <br /> CC Notary 9 2 Z — <br /> Type of Identification Produced,r Ail�'Lr5 Neme.(Print) an U1 _1 - Fi ✓oo(LS "� F- O i CL m <br /> wims, oka a Rortd. <br /> cso nes3o <br /> wpdate/bcs/no8cewmmenoemenLpc053048 <br />
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