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04-3476
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2004
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04-3476
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Last modified
3/6/2009 3:22:35 PM
Creation date
2/7/2007 11:56:20 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-3476
Building Department - Name
CLAYBORN,VERLON
Address
5345 23RD ST
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<br />111I111111111I\\IIlIIIIIIIIIIIIIIIIIIIIIIIIIII~lllltl\tl lit! <br />2004192852 <br /> <br />NOTICE OF COMMENCEMENT <br /> <br />State of <br /> <br />Florida <br /> <br />County of PaRr.o <br /> <br />THE lmOERSIGNED 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. 12-26-21-0030-00600-0180 <br /> <br />5345 23rd Street <br />(Legal description of the property and street address if available) <br /> <br />2. <br /> <br />General Description of Improvement <br /> <br />Reroof <br /> <br />Rcpl:823344 <br />os: 0. 00 <br />10/15/04 .. <br /> <br />Rec: 10.00 <br />IT: 0. 00 <br />._ Dpty Clerk <br /> <br />Verlon Clayborn <br /> <br />JEO PITTMAN, PASCO COUNTY CLERK <br />10/15/04 09: 55am 1 /Jr.f 1... <br />OR BK 6067 PG o4~ <br /> <br />3 . <br /> <br />O\vncr Information: Name <br /> <br />nddress 5345 23rd Street <br /> <br />City Zephyrhills <br /> <br />State Fl <br /> <br />Interest in Property: <br /> <br />Name of Fee Simple Titleholder: <br />(If other th~n owner) <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />R <br /> <br />Contractor: Name A Bartlett Roofing of Central Fl., Inc <br /> <br />Address 38403 3rd Ave <br /> <br />City Zephyrhills <br /> <br />StateFl <br />33542 <br /> <br />5. Surety: Name <br /> <br />Address <br /> <br />City <br /> <br />State <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 o~her documents may be served as provided by Section <br />713.13(1)(a)(7), Florida Statutes: <br /> <br />N~me <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. r:xpirnt,.l'>n d~t..e ot rlot.lce of Cornm~ncement. '(the expIratiun date is 1 year <br />fr~m the date of recording unless a different date is specified.) <br /> <br />Signature of Owner: /~~~. (1(-&?'L~:' <br />Sworn to and subscribed before me this / y/ ' day of <br />, <br /> <br />, <br />,,~ <br />. /~ /', /";/ ../f <:;~,,,, <br />'," tl7 .d\/~.//':___. <br />'"./ . ',.., d'-' Ii V .'1/1 <br />i/ '"!,~ Yf/ <br /> <br /> <br />)/!Jl./ \.,. <br /> <br />19 <br /> <br />Notary Public: <br /> <br />RICHARD C, BAR1lEiT <br />MY COMMISSION II DO 014216 <br />EXPIRES: July 31,2005 <br /> <br />My c.::lm,01.i ss ion Expires; <br /> <br />PC93053048 <br />
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