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04-3251
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2004
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04-3251
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Last modified
3/6/2009 3:23:41 PM
Creation date
2/1/2007 8:38:13 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-3251
Building Department - Name
WALGREENS
Address
6429 GALL BV
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<br />~~~~~~~~/J~I 1111I1111I Ifill fIlII Ifill 11/11111/11I1 <br /> <br />Rcpl:802073 <br />os: 0.00 <br />07/26/04 <br /> <br />Rec: 18.50 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />Permit Number <br /> <br />Parcel Identification Number _36- I 924025 <br /> <br />Prepared By: <br />Icon Identity Solutions <br />13663 65th ST. N, <br />Largo, FL 3371 <br /> <br />JEO PITTMAN, PASCO COUNTY CLERK <br />07/26/04 08: 53am 1 of 2 <br />OR BK 5956 PG 1657 <br /> <br />Return to: <br />Same <br /> <br />NOTICE OF COMMENCEMENT <br />State of Florida <br />County oC <br />The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance with <br />Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement. <br /> <br />I. Description of property (legal description of the property, and street address ifavailable) <br />See attached for legal description. <br /> <br />6429 Gall Blvd, <br />Zephyrhills, FL 33541-2570 <br /> <br />2. General description of improvement(s). <br />Installation of new ground and wall signs. <br /> <br />3. Owner Information <br />Name Walgreen Co, <br />Address 200 Wilmot Rd, <br />Deerfield, IL 60015 <br /> <br />Telephone Number 847-914-3289 <br /> <br />Fax Number 847-914-3077 <br />Interest in Property: Owner <br /> <br />4, Fee Simple Title Holder (if other than owner shown above) <br />Name Telephone Number <br />Address Fax Number <br /> <br />5. Contractor <br />Name Icon Identity Solutions <br />Address 13663 65th St. North <br />Largo, FL 33771 <br /> <br />Telephone Number 727-536-8646 <br /> <br />Fax Number 727-535-2413 <br /> <br />6, Surety (if any) <br />Name <br />Address <br /> <br />Telephone Number <br />Fax Number <br />Amount of bond $ <br /> <br />7, Lender (if any) <br />Name <br />Address <br /> <br />Telephone Number <br />Fax Number <br /> <br />8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be <br />served as provided by 713 .13( I )(a)7., Florida Statutes. <br />Name Telephone Number <br />Address Fax Number <br /> <br />9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as <br />provided in 713.13(1 )(b), Florida Statutes, <br />Name Telephone Number <br />Address Fax Number <br /> <br />10, Expiration date of notice of commencement (the expiration date is one year from the date of recording <br />unless a different date is specified): <br /> <br />7-/~- OL/ <br />Date Signed <br /> <br />S-/~ ~rULcJ~ <br /> <br />Signature of Owner {Note: per <br />713,13(1)(g), "owner must sign.. ,and <br />on one else may be permitted to sign in <br />his or her stead." <br /> <br />~"~ ~ <br />Sworn to and subscribed b"efore me this .1:... day of ' " . <br />2004 by ~~. <br />Who is y personally known to me OR produced <br />As identification, <br /> <br />';''V\f\'.J'VV~~ <br /> <br />? OFFICIAL SEAL <br /> <br />J . BARBARA P CHRISTENSEN <br />NOTARI'PUBUC STATf OF <br />",'IV C("""""<"iO:/ /,v",,,, 1U.1Na. <br />." ',.,,, .."r<nfS:ll..o8104 <br />."'A"".;f'..~t..^~.(I~,Aj <br /> <br />~~ / /~~~/O-'l.!~<- <br /> <br />Signature of Notary (notarial seal to <br />appear below) <br /> <br />
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