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01-0340
Zephyrhills
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2001
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01-0340
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Last modified
3/6/2009 2:42:30 PM
Creation date
10/3/2006 12:01:23 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
01-0340
Building Department - Name
MCCLELLAN,EDWARD
Address
17TH ST
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<br />STATE or FLOP1CA <br />COUNTY OF P.A.SCU <br />THIS IS TO CERTIFY THAT THE FOREGOING IS A <br />TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE <br />OR OF PUBLIC RECORD IN THIS OFFICSS/ITNESS MY <br />H N NO OFFICIAL SEAL THIS~ DAY OF <br />2 C2Qf. <br />N, CLRK OF IRC T COURT <br />DEPUTY CLERK <br /> <br />1111111111111111I111111111111111111111111I11111111111111 III/ <br />2001068479 <br /> <br />Repl: 499650 <br />DS: 0,00 <br />OS/23/01 <br /> <br />Ree: 6,00 <br />IT: 0.00 <br />______ Dpty Clerk <br /> <br /> <br />~~92~~nMAre : &N:;O fOUNToYf' C1ERK <br />OR BK 4617 PG 1312 <br /> <br />Penn!l No. <br /> <br />KqNo. <br /> <br />SL1le o( <br />l. <br /> <br />NOTICEOFCO~~ <br /> <br />Counry 0{ <br /> <br />TIfE UNDERSIGNED hereby 1Nc:s notice that Improvement will be mJde (0 ceruln real propeny, and In ICCOl'lhoce .".,tl <br />Chapter 713. AoridaSUlutes. the (ollowin& in(ormatloa is provided La Ibis Notla: o( Commencement; <br /> <br />1. CDesaiption of Property: Parccl No. 6 t 2Lj. t 7TH 8T <br />(Lcea1 description of the propeny and slreetlddress If av.ailab&c) <br /> <br />. , <br /> <br />2. 'General Descriplion or ImprovementlLUM I NUM ROOF OVER NO GAS <br /> <br />3. <br /> <br />. t_ ..: ~\ <br /><4n~ <br />~ ,.' <br />5. <br /> <br />Ownerlnformation::NamiDWARD McCELLAN . " Addrc*124 17TH ST <br />arf/HILLS ',' ,,',~~lfL. "'lnter~cfD',fropcny: <br />Name o( Fee Simp~,e TIlJehoJder (It otberlhan OWDer): ' <br />Address "" "'< QlJ. <br />, \' <br /> <br />ContractorNamePERMA-GUARD IND. INC Addr&l90 paTH AV N art ARGO <br /> <br />SuretY Name <br />Amount of Bond: S <br /> <br />Sta&c <br />sufeL <br /> <br />;/ <br /> <br />Address <br /> <br />Cry <br /> <br />Slate <br /> <br />s. <br /> <br />Lender Name <br /> <br />A.ddrc:sa <br /> <br />Ory <br /> <br />SUt.e_ <br /> <br />7. Persons within the Slate o( f}Qri<h designated by Owner upon whom DOlkes or otkr OOcumeau m.zy be s.e.rved a:l <br />provided by Section 713.13(1)(1)(7), Aori~ SUtuta: <br />Name Addles.s ary SUte <br /> <br />t <br /> <br />In addition to himself, Owner d~ignates 0{ <br />· copy of lhe Uenor'$ Notice 1S provided in Section 713.13(1)(b). flori<U SUtules.. <br /> <br />&pin uoo <U Ie oC Noucxo oC CommeocxoOleol (rnetJ;:~ ~ ~ r=",tinl uoJ= 'jxd1lod) <br /> <br /> <br />~gnature of Owner <br /> <br />to r ca:iYc <br /> <br />Sworn to and subscribed before me this <br />/ <br />Personally known. ~' or <br /> <br />..2.-/1// <br />_:J day of <br /> <br />'; ~I <br /> <br />///P'~/ <br />( <br /> <br />, ':;.ov/, <br /> <br /> <br />e of I. D. <br /> <br />I' -~ /J ,/ <br />, '\ ,:~.J"_ -< -C-,;~~ <br />, '- <br /> <br />-:? <br /> <br />1 ,,~'14::t.. ' . KARLA. <br />'. W"'~'C"':f.\ MY COMMISSION' CC 925466 <br />!*~. : : EXPIRES: AlIgust 5, 2004 <br />. . :' _1IlNNolIIyPullllc~ <br /> <br />NOTARY PUBLIC <br />
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