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19-22122
Zephyrhills
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2019
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19-22122
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Last modified
2/17/2021 10:07:18 AM
Creation date
2/17/2021 10:07:17 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-22122
Building Department - Name
JOHNSON,CHRISTINE & KIEPER,JAMES
Address
5716 5718 16TH ST
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INSTR#2019205084 OR aK 10015 PG 3258 Page 1 of 1 <br /> 12/03/2019 10:38 AM Rcpt:2113517 Rec:10.00 IDS:0.00 IT:0.00 <br /> t Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller <br /> Permit <br /> NOTICE OF COMI4IIE�JCEMENT <br /> � No. <br /> Property Identification No. -2-6 ' -2-t — 0 O t p .7 qT 100 — 0 1'-�0 <br /> TIM 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 following information is provided in the NOTICE OF COMMENCEMENT. <br /> I. Description of property(legal descrlp� VR:) rf {' 7- 1 '6a 10 0 (0 —0(400 <br /> a) Street Address: ( 0*11 <br /> 2. G end description o ' rovem Re Chd S.kk <br /> 3. Owner Information <br /> a) Name and address: ra"t, <br /> b) Name and address of fee simple titleholder(if other than owner) <br /> c) Interest in property <br /> 4. Contractor Information P <br /> a) Name and address: Sc o-N-. �la�tc. _., A �l i�C <br /> b) Telephone No.:,_ .- r�7� 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 Lienoes 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 expirationdate 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 IPROYEMENTS TO YOUR PROPERTY.A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION.W YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. 'd <br /> STATE OF FLORIUA ,(1 <br /> COUNTY OFPASCO WAA <br /> Signs*OF or Owrwes Authorized 0fficer1Dirseint1PWtz= 4mgP - <br /> ?' IrtLZ <br /> Nam <br /> � �� <br /> The foregoing instrument was.ectoiowledged tiefdre me this y`5_.day of /�/ D P.µ l 20 44,by l�^N /�.�•�d k— 100/l <br /> as' A . (type of authority,e g.officer,trustrney in fact)for <br /> ' h s (name of party on behalf of whom instrument was executed). <br /> Personally Known 'OR Pioduced Identification Notary Signature %m_ -Q y <br /> Type of Identification Prridtioed Name(print) <br /> VG rificauion pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have the foregoing and that the facts stated <br /> in it are true to the best of my knowledge and belief. ! '� <br /> roRmsmorlmd m ¢-e i <br /> • s��r '� I <br /> M1t MI&REVELL <br /> MYCOmws8t0N ff t30184920 :r <br /> ass k9>il'IRE9:F4btyary 12,2= d <br /> L���fh°•''�tlCsrdM!'ftwt'I�nYPtA9nifntlesYrtitoso i! <br />
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