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04-3015
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04-3015
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Last modified
3/6/2009 3:24:51 PM
Creation date
1/25/2007 11:57:10 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
04-3015
Building Department - Name
CAMPBELL,DOUG
Address
5006 8TH ST
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<br />NOTICE OF COMMENCEMENT <br /> <br />State of Bo(uia. , <br /> <br />COllnty of Yro....A1C1 D <br /> <br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, <br />and in accordance with Chapter 713, Florida Statutes, the foIlowmg 1I1formatlon IS provIded 111 <br />this Notice of Commencement: <br /> <br />1. Description of Property: Parcel No. II-cllo-d./ -()b/{)-J liDO -'0/3 (j <br /> <br />3, <br /> <br />(Legal description of the property and street address if available) <br /> <br />2. Gen eral 0 escri p ti 0 n of 1m pro vem en t '?w e~ (3 W~~~~~~lWI """"111111"111111111 11111 11111111 <br />Rcpt: 777221 Rec: &,00 <br />DS: 0.00 IT: 0.00 <br />04/27/04 Dpty Clerk <br />A, fa ~/0~LL <br />City (efJ)u{t!vIILJ <br />, <br /> <br />Owner Information: Name Doug J ax:::;; <br />Address ,5('1\/...0 "'2Th ,--5+. <br /> <br />Interest in Property: <br /> <br />.c- ;;;;> -:x::::c! \ <br />State /7._ ,J D (:;>I <br /> <br />..... .... ,. <br /> <br />Name of Fee Simple Titleholder: <br />(If other than owner) <br />Address City <br />Contractor: Name~yl'Y> 0 ----;;~'2;, <br />Address37,-~d.;c) c~.p ,--~4 tU. City lePltll,l~~J6 <br /> <br />JED PITT"AN~--PASCO COUNTY CLERK <br />04/27/04 1...: 29am 1 of 1 <br />OR BK 5825 PG 1118 <br /> <br />R4. <br /> <br />State <br /> <br />5. Surety: Name <br /> Address <br /> Amount of Bond: $ <br />6. Lender: Name <br /> Address <br /> <br />Stateh:_ 3,~0- <br /> <br />City <br /> <br />State <br /> <br />City <br /> <br />State <br /> <br />7. Persons with in the State of Florida designated by Owner upon whom notices or other <br />documents may be served as provided by Section 713.13 (I) (a) (7), Florida Statutes: <br /> <br />Name <br /> <br />Address <br /> <br />8. In addition to himself, Owner designates <br /> <br /> <br />of. . . to receive a copy of the Lienor's Notice as <br />provIded 111 SectIOn 713.13 (1 ) (b), Florida Statutes. <br /> <br />City <br /> <br />State <br /> <br />9. Expiration date of Notice of Commencement (the expiration date is I year from the c1ate <br />of recording unless a different date is specified.) <br /> <br />Signature of Owner: X' B/Z~ g e~/' <br /> <br />Sworn to and subscri ed before me this dd day of flvJ(J I <br />a'~ F- <br /> <br /> <br />,20t..!/-,I. <br /> <br />Notary Publi : <br /> <br />. <br /> <br />My Commission Expires: <br />PC93053048/A <br /> <br />R~ :;~:.~e:: nn185587 <br /> <br />\;:",,..;1 Expires January 03, 2007 <br />
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