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19-22072
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19-22072
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Last modified
2/17/2021 11:42:19 AM
Creation date
2/17/2021 11:42:18 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
19-22072
Building Department - Name
JACOB,SAM & ELIZABETH
Address
5210 5214 7TH ST
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INSTR#2019198558 OR BK 10009 PG 3375 Page 1 of 1 <br /> 8IH 11/20/2019 03:23 PM Rcpt:2110354 Rec:10.00 DS:0.00 IT:0.00 <br /> Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller <br /> STATE';°" FL NA,COUNTY OF PASCO <br /> ` THIS IS i-O CERTIFY THAT THE FOREGOING IS A <br /> TRUE ND CORRECT COPY OF THE DOCUMENT <br /> TnyoQ ;•p ON FILE OR OF PUBLIC RECORD IN THIS OFFICE <br /> ' WITNESS IVY HAND AND OFFICIAL SEAL THIS <br /> g89 �.b DAl'dF _0 2 O� <br /> 1 . CLERK&COMPTROLLE <br /> TY CLERK <br /> BY COMMENCEMENT <br /> Permit xo. 22072 <br /> Property Identification No._ l — 2 6 —21 --001 Q .- /6 '7,9d_ D r7 4 <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 Statates,the followi <br /> ng <br /> information is provided in this NOTICE OF COMMENCEMENT. <br /> 1.Descriptionof prop erty(legal <br /> ducrSptlon:) C_..iT Rhil�s /I 7Wi►��j,t•� 6���/1 <br /> a)Street Address: /� <br /> 2.0eaand description of improv ents: <br /> 3.0wner Information � <br /> a)Name and address: JAM ' '!�n 15 A W 12 7 P AA RR)SO/►/ �a n �,(9/,,�jQ{��,(-6'�/Qv <br /> b)Name and address of fee simple titleholder(if other than o er) / <br /> c)Interest in property <br /> 4.Contractor Information �, <br /> a)Name and address:'„o e2 ' r'n d <br /> b)Telephone No.: 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 /> Phone No. <br /> 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents maybe 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)Telephone No.: I- Fax No.(Opt) <br /> 9.Exphdon date ofNotice 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 IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSUk LENDER AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF��UOU <br /> NCEMENT. <br /> STATE OF FLA M M <br /> COUNTY OF PASCO V <br /> Si err/Autbwired Officu1[Xteaor/PubwNingw <br /> n <br /> �TnntN`dam <br /> m <br /> 1�lowe x, GG <br /> Tho f��[[e��go'arg instrument Zo` <br /> t was acknowledged before me this day of r .20J by <br /> �Y4 M Ja C D h as (type of authority,a g.officer,trustee,attorney <br /> in fad)far (name of party on behalf Of hom histrum exewt <br /> Para ally Kno OR Produced Identification_ Notary Signature 'L�K.2 <br /> Type of Ideatification Produced Name(print) (KC §t'LL E'-`j !fie- t �� <br /> i <br /> Verification pursuant to Section 92.525,Florida Statutes.Under penalties of pequry,I declare that I have read the foregoing and that <br /> the fads stated in it are true to the best of my knowledge and belief <br /> Sipbve oiwahual Pen=Sipdua Above <br /> NE <br /> Commssiolrt#GG276457 <br /> Expires December 12,2022 <br /> "•'.".'.`.'' Bonged Ttuu Troy Fain lnsurmoe 800385.7019 <br />
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