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19-21317
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2019
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19-21317
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Last modified
4/26/2020 8:58:30 AM
Creation date
4/13/2020 12:52:42 PM
Metadata
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
19-21317
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
36763 EILAND BLVD
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Permit No. Parcel ID No <br /> NOTICE OF COMMENCEMENT <br /> State Of F1 orit Aq County of p0.S(o <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 Commencem enI! <br /> 1. Description of Property:Parcel identification No. Offs o-21-p000- oowo- Dc)to p <br /> 8treetAddress: 3b7(03 E;14k 131A. 7e10hYlrk; 11S f FL- 35sg2, <br /> 2 General Description of Improvement S 1_Apage. <br /> 3. Owner Information or Lessee Information If the Lessee contracted for the Improvement <br /> 2 Y Y <br /> Address r►1 In�Name��1gnd g y ," �f�rZf-Q 1.4Y <br /> hi 1 state <br /> Interest In Property: G_n G I _�Q �' { 1 1QI� <br /> Name of Fee Simple Titleholder. v ✓ <br /> �t(if different from Owner listed above) <br /> ess <br /> 4. Contractor. Sk(aMSTAtZ ?i oydQU City State <br /> -7-72eemtkS t0tn6P0. FL. <br /> Address Q City State <br /> Contractors Telephone No.: O13—nO—V7(03 <br /> S. Surety: <br /> Name <br /> Address City Stale <br /> Amount of Bond:$ Telephone No.: <br /> 6. Lender. <br /> Name <br /> Adder city State <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)(/),Florida Statutes: <br /> Name <br /> Address City State <br /> Telephone Number of Designated Person: <br /> 8. In addition to himself,the owner designates of <br /> to receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b),Florida Statutes. <br /> Telephone Number of Person or Entity Designated by Owner. <br /> g. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the <br /> contractor,but will be ane year from the date of recording unless a different date is specified): <br /> WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713, PART1, SECT!ON713.13, FLORIDA STATi1r S.AND CAN <br /> RESULT IN YOUR PAYING TWICE 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 ORAN ATTORNEY BEFORE COMM CING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> Under penalty of perjury,I declare that I have read the forego) n co <br /> mme ment and t the facts staled therein are true to the best <br /> of my knowledge and belief. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO l�V <br /> Sign er or Lessee,or Ownift t.essaos Authorized <br /> Officedo dPadner/Manager <br /> _�naAina �a►-1��r <br /> Signator/s T111612flice <br /> The foregoing Instrument was acknowledged before methis deyof Mff 2015by <br /> as (type of authority,e.g.,officer,trustee,atiomay in fact)for <br /> (nem%�pokf�)paarty on behpIf of who stru ie t was executed). <br /> Personally Kn.. , a Produced Identification❑ Notary Signature JY <br /> Type of Identification Produced Name(PdnQ. U Y`l�e.11� C-D L,►. d <br /> INSTRt) 2019093654 BK 9916.PG 1914 PAMELA OOULD <br /> 06/05/2019 08:43am Page 1 of 1 �s " Way Public•Stitt 01 FlOflda <br /> Rapt: 2060395 Rec: 10.00 C0 y Pub is tM FF ti97149 DS: 0.00 IT: 0.00 <br /> Paula S. O'Neil, Ph.D. My Comm.Ettplr4l Miy 31,2020 <br /> Pasco County Clerk & Comptroller <br />
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