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09-9532
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09-9532
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Last modified
1/10/2011 9:48:41 AM
Creation date
1/7/2011 1:20:21 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9532
Building Department - Name
KELLY, SHIRLEY
Address
5404 5TH ST
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L ij !i1 IIIIIIIIIIII!I!iiiiiiiii11111111111111111 6 II <br /> R.:1262713 Rec: .0 <br /> DS: 0.00 IT: 0.0 <br /> 09/10 ppt10 Clerk <br /> • PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> 0 9/10/09 7AM 1 0 <br /> NOTICE OF COMMENCEMENT OR BK ♦ PG 11 <br /> Permit No. r <br /> Property Identifrcatiot No. I t - 2-6 - � - �-( ' o o (Q - O c' Q©-- ()l q o <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with <br /> Section 713.13 of the Fl rida Statutes, th f llowin information is provided in this NOTICE OF COMMENCEMENT. <br /> C d of Z rLt It lS V5 t P05 c.0-3 I q�Za <br /> 1.Descript on of prop (F egal description:) qCr_. 9 `$ (C_ ? S 8 P& 159a -- <br /> a) Street Address: 5 ( 4 5 Sr - 2 \h > /1' AS i 33 5' -j <br /> 2.General description of improxe <br /> .e�rooT <br /> 3.0wner Information <br /> a) Name and address: S6 1144 4. ILR if SciOy S' 4- st . _ r -A t It- t 3J" <br /> b) Name and address of fee simple titleholder (if oth than owner) �( <br /> c) Interest in property <br /> 4.Contractor Information • <br /> iR a) Name and address: a A \�0 4y_ '3 6u(3 St Ey L� ( (�' <br /> b) Telephone No.: 1 , e Fax No. (Opt.) 33 <br /> 5.Surety Information <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No. (Opt.) <br /> 6.Lender <br /> a) Name and address: <br /> Phone No. <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: <br /> a) Name and address: <br /> b) Telephone No.: Fax No. (Opt.) <br /> 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b), Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: . Fax No. (Opt.) <br /> 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is <br /> specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCIj 64117WR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA' 1. <br /> COUNTY OF I AiVQ • K <br /> ti : Notary Public State of Florida ��� <br /> 416 Christian Ryman <br /> el . ... Signature gf ca or Owner's / zed Officer/Di t or/Partner/Manager <br /> r My Commission 00751010 r <br /> - -n " or Expires 01/24/2012 � — S h 1 r 1 c ''� <br /> .4. Print Name <br /> T e oregoin s � e nt waq acl�owledged before me this y da of� � 20Q b <br /> b 9 <br /> 1\ � y 5� #r-1� <br /> in fact) for " " ""'" as (type of authority, e.g. officer, trustee, attorney <br /> R . (name of party on behalf of whom ' . • . „ ent was executed). <br /> Personally Known ✓OR Produced Identification Notary Signature <br /> Type of Identification Produced ` , <br /> Name (print) y-j,� t cv RNI-1. <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that <br /> the facts stated in it are true to the best of my knowledge and belief. <br /> FORMS /NOC,rvsd2007 Signature of Natural Person Signing Above <br />
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