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09-9533
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09-9533
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Last modified
1/10/2011 9:48:54 AM
Creation date
1/7/2011 1:21:27 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
09-9533
Building Department - Name
HOLM, MICHAEL & GINA
Address
6730 NORTH LAKE DR
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• <br /> 1111011111111111i111111111iiiiiiu1111111111111111 <br /> 2009127083 <br /> • Rept:1262059 Rec: 10.00 <br /> DS: 0.00 IT <br /> 09/09/09 Dpty Clerk <br /> 09/09/09 O'NEIL, PASCO CLERK R COMPTROLLER <br /> gal 1 <br /> OR BK PGo <br /> NOTICE OF COMMENCEMENT <br /> Permit No. / <br /> Property Identification No. dJ - ZtD - 2-1 - 01 s0 - Ooo:O - 01 so <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 Florida Statutes, the follo information is provided in this NOTICE OF COMMENCEMENT. <br /> S� - 61454 oLt Sj kWh,- OC !� <br /> 1.Description of property ( legal scription :) Ph.Q.3 Ong P ' s PGs - • <br /> a) Street Address: 6 r 7 0 Nnrwl / 1 Z.v • 1 i 11 t > Z, <br /> 2.General dAscription of rovements: <br /> 3.Owner Information M . t Ap Pot / t, N' or //ll �, <br /> a) Name and address: T tf�laa.1 - •4-G.ii�M fooll� 6 ??c, i,kt 4.0. -� 3 ° S L�: r '; f� � 1�/ <br /> b) Name and address of fee simple titleholder (if other than owner) L � <br /> c) Interest in property <br /> tractor Information t� 2 p <br /> �• , a) Name and address: fr oy ��-ClIR C 7 " , ‘qt S / 1. St/ 42 'r-4 off5 <br /> b) Telephone No.: ! - Fax • Fax No. (Opt.) �3 <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 < 1— W <br /> 713.13(1)(b), Florida Statutes: Z U !Y W <br /> — <br /> e) Name and address: O W W — J <br /> _l U <br /> b) Telephone No.: Fax No. (Opt.) U O I-- J <br /> 9.Expixation datc of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is < Q 0 = Q N o <br /> specified): LL w t— W eL <br /> ® N Q CO O a. <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF 1— W u. Ce U V <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, Z S O O tT �' 1 <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ~ > - W u <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST V < 0 CC <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE = U V 2 W <br /> COMMENCING- WA[{ QR RECORDING YOUR NOTICE OF COMMENCEMENT. Q ~ o -� Q J <br /> STATE OF FLORA '• • ' <br /> COUNTY OF . _ • O cr cc L.L. = Q W <br /> ' <br /> i R Ct[rtsUSnua1eman State at Florida Signature of Owner pr 's Auth zed O cer/Directos/Partner/Muuger Ll. U ° u- 0 � .• • n ' '.►1y:Com:misabnDD75mam0 ^.� <br /> ; <br /> •" •• (' Explres0m12M2om Print Name Qe O 1— z Q <br /> The foregoing t ireniwandclTowledged before me this 4 day of gyp. 1,., , 20a, by . /1V <<�` Q U) D D <br /> IMF i • x <br /> . � r., r ,, , as (type of authority, e.g. officer, trustee, attorney t j O s 0- p <br /> in fact) for (name of party on behalf of whom ins nt was executed). <br /> Personally Known i / OR Produced Identification _ Notary Signature <br /> Type of Identification Produced Name (print) \ir•N-;..1" p <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 /> • <br /> • <br /> • <br /> • <br /> • <br /> Signature of Natural Person Signing Above <br /> FORMSINOC,rvsd2007 <br /> • <br /> • <br /> 1 <br />
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