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19-21305
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2019
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19-21305
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Last modified
4/13/2020 12:49:03 PM
Creation date
4/13/2020 12:48:58 PM
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Building Department
Company Name
HIDDEN RIVER
Building Department - Doc Type
Permit
Permit #
19-21305
Building Department - Name
CORLISS,JEFFREY & LAURA
Address
3052 MOULDEN HOLLOW DR
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INSTR#201 91 0041 0 OR BK 9922 PG 1228 Page 1 of 1 <br /> 06/13/2019 12:26 PM Rcpt:2063334 Rec: 10.00 DS:0.00 IT:0.00 <br /> PauCa S. O'Wei6 Ph.D., Pasco County CCerk&ComptroCCer <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. 14 ^2 L'a f" O/OD-'QX o Q70Q <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 fallowing information is provided in'the NOTICE OF COMMENCEMENT. <br /> I. Description of property(kpl descripflon:) :rldc 111�.ve-e. A"T ir r 0 PB 74 LPG 0 7Z 4p7~xro <br /> a) Street Address: --A e f-L Af ajj4 giro!fro LL a uv 2R T' hVA f7.a 1 Y VY.d 3 3 tJ o <br /> 2. General description ofimprovements L r PS yA ey farisc dr AAAc1 yTAdItLkWr F&Wa r Uj 'C <br /> 3. Owner Information <br /> a) Name and address: #-N 4C-9T Ur E X A 1, /3•U k A Cd 4 t,J.S JaSL Af&y4,4d-, + ZI1L4orAI D/t 7.14, <br /> b) Name and address of fee simple titleholder(if other than owner) <br /> c) Interest in property - <br /> 4. Contractor information a) Name and address: kkaft !`��++ <br /> " any CA W'4y <br /> b) Telephone No.: /3-"Y&D --"S dy 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(l)(b),Florida Statutes: <br /> a) Name and address: <br /> b) TelephoneNo.: FaxNo.(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 1PROVEMENTS TO YOUR PROPERTY,A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE 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 /> STATC OF FLORIDA � <br /> COUNTY OF PASCO p /')-r—ge l 5w f� <br /> Siglmture OF Owner ar DwrWs Audwraod 0f icer/DiredWftAae/Meneger <br /> Lam« <br /> Print Name <br /> The foregoing instrument was acknowledged before me this 241 day of t"luy .20 11_,by LCA.l. 'V-a. C•D()i S5 <br /> as CX V, (type ofmitharity,e.g.officer,trustee,Womey in 11M)for <br /> (name of party on behalf of w instrument was exe/cute4 <br /> Personally Known�L OR Produced,ldentif ition_ Notary Sigoatum �"<- <br /> Type ofldentification Produced Name(prim) <br /> G 1 Ck CDv� <br /> Verification pursuant to Section 92.525,Florida Statutes.Under,penalties of perjury,I declare tint I have mad the foregoing and that the facts stated <br /> in it are true to the best of my knowledge and bc11cf. <br /> F01UW&9 Cmd= %%%%'%`^, rr 11,f+<</i orlJoud liar XVft Abaft <br /> ... `.• <br /> Public Stele of Floridt+ T Q ,1 rL = <br /> PA tCWW GG 28794'& , <br /> r NotaryR <br /> • My <br /> F.xp' <br /> o. <br /> d,•. <br /> ce <br /> a ' <br />
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