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06-5825
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2006
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06-5825
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Last modified
3/6/2009 4:19:36 PM
Creation date
6/6/2007 8:32:26 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
06-5825
Building Department - Name
WOODBURN,CHESTER
Address
4735 ROLLINS ST
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<br />f'l ap1e: <br /> <br />::>.I:$A.K;:i li<JMH IMPROVEMENT PRODUCTS, INC. <br />P.O. BOX 522290 <br />LONGWOOD, FL 32752-2290 <br />1-407-551-5376 <br /> <br />111111111111 1111I1111111111 111111111111111 111I11111I11111111 <br />2006106784 <br /> <br />Rcpl: 1001089 <br />OS: 0. 00 <br />OS/24/06 <br /> <br />Rec: 10.00 <br />IT: 0 . 00 <br />Dpty Clerk <br /> <br />State: <br /> <br />NOTICEOFCO~NCEMENT <br />FLo {l,t D 11 <br />.1/lA7CO <br /> <br />County: <br /> <br />The UNDERSIGNED hereby gives notice that improvement Will <br />be made to certain real prope1ty, and in accordance with <br />Chapter 713, Florida Statutes, the following information is <br />provided in this notice of Commencement, <br /> <br />JEO PITTMAN~ PASCO COUNTY CLERK <br />OS/24/06 1~:54am 1 of 1 <br />OR BK 7002 PG 1858 <br /> <br />! . <br /> <br /><. <br /> <br />1. <br /> <br />Des.cription'ofproperty: (legal description of <br />property, and street address if available) <br /> <br />'171(, R,//;YD ')1- 2cthYlh.!f5 <br /> <br />? 35-'-/): <br /> <br />2. <br /> <br />General description of improvements: A Lt G2s-~~ ~ e(J- /.A(!B <br /> <br />3. <br /> <br />Owner information f? I <br />a Name and address: ~1p~ <br /> <br />b. Interest in property: ()CJJ fJee. . <br /> <br />') <br />~ ba.nJ I ir5b i~({.ffi~SJ <br />ZePCf'l4tfLL5 (L, 7~-5Cf2' <br /> <br />c. Name and address offee simple titleholder (if other than owner): <br /> <br />B. .4. <br /> <br />~ <br /> <br />Contractor: (name and address) <br /> <br /> <br />cc;,e. <br /> <br />5. <br /> <br />Surety <br />a. Name and address: NA . <br /> <br />, ~i; <br /> <br />b. <br /> <br />Amount of bond <br /> <br />$ <br /> <br />6. . Lender: (name & address) NA <br /> <br />7.' Persons within the State of Florida designated by Owner upon whom notices or other documents may be <br />Served as provided by Section 713-13(1)(a)7, Florida Statutues: (name and address) <br /> <br />8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as <br />provided in Section 713.13(1)(b), Florida Statutes: (name and address) <br /> <br />ABOVE NAMED CONTRACTOR <br /> <br />. . . <br />9. Expiration date of Notice of CommeIlcement (the expiration date is I year from the date of recording unless <br /> <br />,z~ta~ <br />'(' atur Owner) . <br />Drivers License #: W 31Cc> - {CO r 4 CO -'/33;" 0 . <br />Owner's Name: ~lef llJ"cs~ru ' ---'---- . <br />Owner's Address: 413S i(6Lt~N~ Zefr-ty tf fl L ~ fL~ 135'42 <br />. ( <br />All information must be typed or printed legibly to comply with recording requirements. <br />STATE OF FLORIDA 0,,\.c.../'\~ <br />. COUNTY OF +/~ <br />was acknowledged before me this 5" j'f( / IY... " by . cle.5'fe..( W~~lJ \ <br />, I <br />tJ ~ Uc. . as identification and who did (did not) take an oath. <br /> <br />*1 <br /> <br /> <br />" <br /> <br />.S! (S~gnature of person taking acknowledgement) <br />1 D, Fisber. . . . <br />. C , ,..., ... - (Name of officer taking acknowledgement - typed, pnnted or stamped) <br />Expires' NOll. .., :J . <br />BondedThruAt1an~~ Ii! ..17, 2008 (Title or rank) <br />IlBSh.6 Cu., Inc. <br /> <br />(Serial number, if any) <br /> <br />M9 - Rev. 08/03 <br /> <br />,. <br /> <br />#1 <br />~ <br />
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