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03-1766
Zephyrhills
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2003
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03-1766
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Last modified
3/6/2009 3:09:55 PM
Creation date
12/5/2006 9:28:08 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
03-1766
Building Department - Name
POTTS,HENERY
Address
5904 FOREST LN
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<br />111I111111111I1111I11I111111I1111I11111I111111I1mlllllllll. <br />2003007636 <br /> <br />NOTICE OF COHMENr::'EMENT <br /> <br />State of <br /> <br />Florida" <br /> <br />County of <br /> <br />Pa..sc.o <br /> <br />THB ImDERSIGNED hereby gives notice that improvement will be made to c~rtain <br />real property, and in accordance with Chapter 713, Florida Statutes, the <br />following information is provided in this Notice of Commencement: <br /> <br />1 . Description of Property: Parcel No. 10- J,& - ;J.l- 0 II 0- 00000'- 0 I 00 <br /> <br />5 Cj 0 L/ Fo f't! s 1-n. <br />(Legal descr1pt1on of the <br /> <br /> <br />2 . <br /> <br />General Description of Improvement <br /> <br />RCl::JF - ove .r <br /> <br />Rcpt: 646840 <br />DS: 0.00 <br />01/14/03 <br /> <br />Rec: 6.00 <br />IT: 0.00 <br />.._._._.u____ Dpty Clerk <br /> <br />3 . <br /> <br />Owner Information: Name --.l:f enY'j Potts <br />llddress .JfC(OY fo(e~t LV\. City Zf'phyv-hi \I ~ <br />Interest in Property: <br /> <br />State Fl. 335'"(/:z. <br /> <br />Name of Fee Simple Titleholder: <br />(If other th~n owner) <br /> <br />JED PITTMANA PASCO COUNTY CLERK <br />01/14/03 0~:30am 1 of 1 <br />OR BK 5202 PG 1352 <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />, ~~:.:\ <br /> <br />$....ii~ <br />Wi 4. <br /> <br />Contractor: Name WOO&. COv1S+CL.t.C-tl'Ov-.-, <br /> <br />Address Id-L\t<b U.S. H-t.(;'j' =5DI <br /> <br />City 'vr)dp LI'+l <br /> <br />Sta te PI. 335';;J.5' <br /> <br />5. Surety: Name <br /> <br />Address <br /> <br />City <br /> <br />Stat~ <br /> <br />Amount of Bond: $ <br /> <br />6. Lender: Name <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />7. Persons within the State of Florida designated by Owner upon whom <br />notices or other documents may be served as provided by Section <br />71J.lJ(l)(a)(7), Florida Statutes: <br /> <br />Nc:mc <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />8. In addition to himself, Owner designates <br /> <br />of to receive a copy of the <br />Lienor's Notice as provided in Section 713.13(1)(b}, Florida Statutes. <br /> <br /><J. f'xp.i.rnt.l')n dnt.e ot Uot.lce of Commencement. (the explration date is 1 yea.r <br />fr~m the date of recording unless a different date is specified.) <br /> <br />./', <br /> <br />-:'1'1 Signature of Owner: <br /> <br />....// <br /> <br />...../J." . < <br />'. ' <br /> <br />" I' , , <br />\, ...- ..,,:" .----~ <br />co . _' .~ .,"~___ <br /> <br />Sworn to and subscribed befo-te me this /.1 <14. day of ,7CUUILt.I-.) <br />1fJ (~OO q . ;;l <br />Notary Public: "--..J'A04-h-'N' <br />/ ----; <br />" , '--../ <br />My C :):11,;]] S S .lon Exp~res : <br /> <br />i3a~ <br /> <br />'~l"~ Sll'nmne Rahr <br />:~~.>:. Com!llission #00157131 <br />::~: . :.= ExplTes: Nov 15,2006 <br />':.,~~ . , . 'o'#..~ Bonde<! I nru <br />"."~~.';.,,, Allantic Bonding Co., Inc. <br /> <br />PC93053048 <br />
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