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04-3652
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04-3652
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Last modified
3/6/2009 3:21:38 PM
Creation date
2/8/2007 11:53:30 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-3652
Building Department - Name
HCR MANOR CARE
Address
38220 HENRY DR
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<br />yermit r\Jo, , . _' " _' '.' <br /> <br />~r<-el 1.0. NO.09J-ato -jl oo~o OOAO() ,.017,2- <br /> <br />11111111111\ 111\\ 11\1\ 1111' \\111 II'" 11111 II'" 111\\ I'll 1II1 <br />2004223130 <br /> <br />NOTICE OF COMMENCEMENT <br /> <br />Rcpl:835346 <br />os: 0. 00 <br />12/02/04 --' <br /> <br />Rec: 10.00 <br />IT: 0. 00 <br />_. _ Dpty Clerk <br /> <br />State of Florida <br />County of Pasco <br /> <br />THE UNDERSIGNED hereby gives notice that improvement will be made <br />to certain real property and in accordance with Chapter 713, Florida Statutes, <br />the following information is provided in this Notice of Commencement. <br /> <br />JED PITTMRN, PRSCO COUNTY CSLERK <br />12/02/04 12:06~m 1 {fa 1 <br />OR BK 6131 PG <br /> <br /> <br />3'8QB <0 <br /> <br />S PL <br /> <br />2. General description of improvement. Reroof <br /> <br />3. Owner information: <br />a) Name and <br />Address: <br /> <br />Hl.R <br />0.33 <br /> <br />met.nor Car~ I I nc <br />N . Su....mm I'f. Sf- . <br /> <br />'Ioledo J <br /> <br />01-+ <br /> <br />43lo04 <br /> <br />b) Interest in property Owner <br /> <br />c) Name and address of fee simple titleholder (if other than owner) N/A <br /> <br />Rcontractor (Name and address) <br /> <br />James Housh I Arrv's RoofinQ Services Inc. <br /> <br />770 N. Grosse Avenue Tarpon Sprinas. FL 34689 <br /> <br />5. Surety - a) Name and address <br /> <br />N/A <br /> <br />b) Amount of Bond $ <br /> <br />N/A <br /> <br />6. Lender (Name and address) <br /> <br />N/A <br /> <br />7. Persons within the State of Florida designated by Own r upon whom notices or other doc <br />713,13(1)(a)(7), Florida Statutes. (Name and address) n rn C I "" <br /> <br />8. In addition to himself, owner designates A I La 3h I e l~ D \ ('Cc. tOy' {)f P \ o...n-+ () per Ct.:h ons <br /> <br /> <br />of <br />Section 713,13 (1 )(b), Florida Statutes. <br /> <br />to receive a copy of Lienor's Notice as provided in <br /> <br />9. Expiration date of Notice of Commencement <br />date of recording unless otherwise specified). <br /> <br />() " <br />Owner signature: <br /> <br />(e~p;rati~n dati. 'nne year from the <br /> <br />~~ I C/~~ <br /> <br /> <br />Name and Title (print): (), I 17 h e. JtI~~. <br /> <br />Notary Signatur~ ~ ~~ k-L~--.; <br /> <br />Name (print) 1'(((1 u\rC{(<" L..J,{~Ci' <br />Title or rank ,v l' \ (~,. oJ j) v. hI, L <br />Serial number, if any <br /> <br /> <br /> <br />After recordinQ. return to: <br /> <br />Arry's Roofing Services, Inc. <br />770 N Grosse Ave <br />Tarpon Springs, FL 34689 <br /> <br />/ <br /> <br />
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