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04-2789
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04-2789
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Last modified
3/6/2009 3:25:46 PM
Creation date
1/23/2007 11:29:35 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-2789
Building Department - Name
DR. K T JOHN
Address
6340 FT KING RD
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<br />I <br />STATE OF FLORIDA <br />COUNTY OF PASCO <br />THIS IS TO CERTI~V THAT THE FOREGOING IS A <br />TRW AND CORRECT COP', OF THE DOCUMENT ON,FILE <br />OF' OF PUEUC RECOR~.iJ r~;iS_ OFFI~ITNESS MY <br />Ht,ND 0 r)FFICii\L ohl!. 1 HIS. _ DAY OF <br />2.~ <br />~1_ERi<~;F CiRCulf CQURT <br />DEPUTY CLERK <br /> <br /> <br />A'1. <br />"-'%5. <br />%6. <br />~. <br /> <br />tvj, <br /> <br />Permit No. <br /> <br />Key No. <br /> <br />NOTICE OF CO!\'[!\'[ENCEMENT <br /> <br />State Of <br /> <br />FL~/C let " <br /> <br />County OF <br /> <br />A~G'D <br /> <br />The Undersigned hearby gives notice that improvement will be made to certain real property. and in <br />accordance with Chapter 713. Florida Statutes. the tollowing information is provided in this Notice 'of <br />Commencement. " <br /> <br />I. <br /> <br />Description of Property Parcel No. tJ.S '- 2 t -21 ~.' CtJ'IO - b()cf' 0/- ot)Q 0 <br />(Legal Description of the Property and str~et a~dress if available) /;"3 '-f ~ {.-- \, Klr'7 If(}, <br />. 4tf)() ;., -J' (--. 1 I ,,- J <br />General Decription of Improvement~.lf.~ ;) t 7 fV .- ILL J '" I r" 4/ &, <br /> <br />2, <br /> <br />3. <br /> <br />Owner Information: Name k. Y r; t...) ( fY' ]) Address: t '5 <( tJ pr;)(i ("'1 [J. <br />City: Zc;ft.;iA /-.., ((..f State: ~L- 'E? '3 -; 'i z <br /> <br />Contractor Name: ;(t')J{-;('f r I:lj~ (!o/l~' Address: I~I j)qc-/(cd Ave. <br />City 13/l.{J.!J k: >tlltle- State: ;::- L 7f6~ / <br /> <br />Surety Name: <br /> <br />Address <br />State <br /> <br />City <br /> <br />Amount of Bond: $ <br /> <br />Lender Name: <br />City <br /> <br />Address <br />State <br /> <br />Persons within the State of Florida Designated by Owner upon whom notices or other documents <br />may be served as provided by Section 713.13( 1 )(a)(7), Florida Statutes: <br />Name: Address: <br />City: State: <br /> <br />In Addition to himself. Owner Designates <br />of to receive a copy of the Lienor's Notice as pro.ided in <br />Section 713, 13(l)(b), Florida Statutes_ <br /> <br />9 Expiration date of Notes of Commencement (the expiration date is I year from the date of <br />recording unless specified): <br /> <br />Signature of Owner: <br /> <br /> <br />'XQ:~ <br />, 0_ Who <br />as identification <br /> <br />The Foregoing instrument was ac . wledged before me this ,1,-\-1"1 day of-.bE. t:: <br />is ~ Personally known to me or (~ who produced <br />and who U did or Udid not take an oath, <br /> <br />.,/,',,1, ("."\' a ,- C<i.l~. 1,/\ .I <br />" IF! ;-o.~, ('.'Y' .u'^-'C, ..c..:.... <br />\.. f"'. v..' l tJ '-" <br />Signature of Notary <br /> <br /> <br />N= <br />tSl= <br />tSl= <br />oIlo= <br />fJ <br />cn= <br />...== <br />tSl- <br />(0- <br />- <br />- <br /> <br />- <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br />- <br /> <br />- <br />- <br /> <br />CSlC::U <br />wcnn <br />........"IlI <br />~(g:' <br />......s.... <br />CSl(gep <br />oIlo CSl <br />01 <br />.... <br />N <br /> <br />::u <br />...... <br />-tn <br /> <br />(g0l <br />c. . <br />'U (g (g <br />~ (g(g <br /> <br />n <br />- <br />III <br />., <br />:It" <br /> <br />o CSlc.., <br />::u ~~ <br />OJ ~"U <br />~ .......... <br />CSl-t <br />UJ""~ <br />~.CSl>> <br />~ OIJ.z <br />-I::a; ~ <br />~Uiu <br />W'''1lI :D <br />3~ <br />o <br />"1J -0 <br />CI 0 <br />c: <br />z <br />..... 0 -t <br />UJ'" -< <br />o <br /><D_r- <br />N~ <br />~ <br />
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