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19-21462
Zephyrhills
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2019
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19-21462
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Last modified
4/15/2020 6:30:59 AM
Creation date
4/15/2020 6:30:54 AM
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Building Department
Company Name
LINCOLN HEIGHTS
Building Department - Doc Type
Permit
Permit #
19-21462
Building Department - Name
HENRY,RUBY LEE
Address
39419 LINCOLN AVE
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INSTR#2019098463 OR BK 9920 PG 2862 Page 1 of 1 <br /> 06/11/2019 12:05 PM Rcpt:2062457 Rec: 10.00 DS:0.00 IT:0.00 <br /> TauCa S. O'Xei6 Th.D., Pasco County CCerk&ComptroCCer <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. l 2—Z� -z- -Q 2a U 3 t O <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with <br /> Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. <br /> 1.Description of property(Ie al der n: �` Ltd r r► S�cr 0r. o'w&st' 1_6 S ,�� Z (' 4 <br /> a)Street Address: / -U <br /> 2.Generai description of improvements: <br /> 3.Owner Information a)Name and address: Z-h' (�J/�s /' ` a <br /> b)Name and address of fee simpl tleholder(if otlAr than owner) <br /> c)Interest in property GV1,T <br /> 4.Contractor Information <br /> a)Name and address:%A GLLGC/O! �1 r)C y�l�z`j //� I``Cj ®� • .a <br /> b)Telephone No.: T� 0" Fax No.(Opt.) c. <br /> 5.Surety Information <br /> a)Name and address: t r ; P ;p <br /> b)Amount of Bond: <br /> c)Telephone No.: Fax No.(Opt.) <br /> 6.Lender <br /> a)Name and address: <br /> Phone No. <br /> 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: Q '�•f; "% <br /> a)Name and address: °n z <br /> b)Telephone No.: Fax No.(Opt.) `y _ W u <br /> 8.ln addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section �?2y _ J C <br /> 713.13(Ixb) Florida Statutes: _ <br /> a)Name and address: Q- C7 0 r Q N 0 <br /> b)Telephone No.: I Fax No.(Opt.) Lg- LIJ I- W a <br /> 9.E uation date of Notice of Commencement the e � LIJ z � LU <br /> xP ( expiration date is one year from the date of recording unless a different date is O <br /> specified): Fes-- tt 1 p Q <br /> W O fY _ <br /> = -z 0 <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF O Q O <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 IMPROVEMENTS TO YOUR PROPERTY. Fr- U <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST ® > U m <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE a Z <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. CSIr Q <br /> STATE OF FLORIDA U 0 0} O <br /> COUNTY OF PASCO EL 0 [] iY cS O <br /> Siuu�,m of or Owner's Authorized OtF dDirectar/PutnedMsnsaer ® 1— z 0 <br /> C P UU) QJ � <br /> Prin Name � rn WLL J <br /> r� p j <br /> The foregoing instrument was acknowledged before me this'Q day of-J Ne 20=t by R� �' 0- j <br /> as (type of authority,e.g.officer,trustee.attorney a7 <br /> in fact)for (name of party on behalf of wh Instrument was executed <br /> Personally Known_OR Produced Identification Notary Signature N.t <br /> rr � ZOType of Identification Produced Name(print) <br /> Verification pursuant to Section 92,525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that <br /> the facts stated in it are We to the best of my knowledge and belief. <br /> Signeure ofNetura!Person Sigalug Above <br /> F0RMSWDCjnd200r <br /> JACQUELINE BOGIES <br /> .,:CctttmfssW#GG 276W <br /> y e.R `•'1 D Wfnber I 2022 <br /> to) h..oa BOD Wr,?019 <br />
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