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04-3723
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2004
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04-3723
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Last modified
3/6/2009 3:21:17 PM
Creation date
2/15/2007 6:58:01 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
04-3723
Building Department - Name
ATKINS,JERALD
Address
39209 PARK DR
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<br />This Instrument Prepared By: <br />Name: <br />Address; <br /> <br />111111111111111111111111111111111111111111111111111111111111 <br /> <br />2004242871 <br /> <br />Rcpl : 842767 Rec: 10.00 <br />DS: 0.00 IT: 0.00 <br />12/30/04 __ Dpty Clerk <br /> <br />~" JilR-'i <br />Nll17lC: THD At-Home Services. Inc. <br />d/b/a The Home Depot At-Home Services <br />Address: 3200 Cobb GaJJeria Pky. Ste. <br />200, Atlanta. GA 30339 <br /> <br />Property Appraisers Parcel Identification: <br /> <br />JED PITTMAN, PASCO COUNTY CLERK <br />12/30/04 01: 44pm 1 of 1 <br />OR BK 6172 PG 1070 <br /> <br />NOTICE OF COMJ\tIENCEMENT <br /> <br />Pennit No. <br /> <br />Folio No. !~ .~O .~.~.rrtDC:O. DC:AO <br /> <br />STATE OF FLORIDA ~<;f\r. <br />COUNTY OF . \"J."J <br /> <br />~/.33J77;{Y <br /> <br />The undersigned gives notice Ibat improvement will be made to certain real property, and in accordance with Chapler 713, Florida Statu.tes. the <br />followillg infanTation is provided in this NOTICE OF COMMENCEMENT. <br /> <br />LegJIl description ofpropcrty (include street address, if available: ~'ifi..\.e;t\s p ~ ~,6~ u:srq RUllo ~~ R;\l35 <br />.39'1..()Cf 'f::>q,./( l),.~v<. "Z..el'h'1rh;1 L "~S4Z. <br />General description of iIq,lrovcment: <br /> <br />g~ ~'~~.~ <br />OwnerTnformation-nameandaddress; ~ d 1Ct+1(;u'\S :~,,~ fft~1C. cjr-, <br /> <br />Interest in Property: <br />Name and address of fee simple titleholder {if odler th:m Owner): <br /> <br /> <br />R <br /> <br />Contractor - name and address: The Home Depot At-Home Services <br />207 Kelsey Lane, Suite G, TlImIla. FL 33619 <br />Phone Number: 813-630-4 II 1 <br />Surety - name and address: <br /> <br />pal( Number: <br /> <br />Lender - name and address: <br />Phone <br />Number: <br /> <br />,vJfi <br /> <br />813-630-4112 <br /> <br />Fax Number: <br /> <br />Amount of <br />Bond: <br /> <br />s <br /> <br />Persons within the State of Floridadesignated by,Owner whom ootU:s of olher documents may be served as provided by Section <br />713, B( I )(a)7., Florida Statues: <br />Name and address: <br /> <br />Phone Number: <br /> <br />IV/A <br /> <br />Fax Number: <br /> <br />In addition to himself, Owner designates of <br />to [ecei~ II copy of the Lienor's.Notice as provided in Section 713.13(1){b), Florida StlIturcs. (Fill in at Owner's option) <br />Plume Number: Fax Number; <br /> <br /> <br />Expi . D date of Notice of Commencement (the expiration date is 1 year from tbe date of recording unles a different date is specified). <br /> <br />Signanue of Owner <br /> <br />J'E.J1Vt{d [;. flrk,W< <br />PrintedNameofOwiier ....e-: (( II . PriutedNameofOwner <br />/Lr~(J A..vn\V\~ .-:iOSEPHIAN~.D~ <br />Sworn to lDld subscribed beron: me by ~ wlio is peISOnally ~wn to ~ or produced I __ <br />1;7'V~ id"""""""~.... who did~.... ~ _ dU..Jj::!: doy .f~ 20 04 . __ _ ,..._ <br /> <br />Signature of Notary ~ ~ ~ : _ -='::=~I <br /> <br />- ~FIorida 1............................................1 <br />Printed Name. of Notary: o.sc- h ~\-"'l:l,.... <br />Commission No./Expiration: 3 <br /> <br />
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