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09-9566
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09-9566
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Last modified
1/7/2011 2:26:05 PM
Creation date
1/7/2011 2:26:04 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9566
Building Department - Name
DEJADON, ALICE
Address
5801 17TH ST
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nu 1 1(1 of COMMENCEMENT I11111111111111111111111111111111111111111111111111111111111 <br /> 2009135989 <br /> Permit No - (L((l (� <br /> Rept:1265125 Rec: 10.00 <br /> Tax Folio No. U DS: 0.00 IT : 0.00 <br /> // o� - 00 /0 r ( -7 0 0 - OO8'ty 09/24/09 Dpty Clerk <br /> THE UNDERSIG hereby gives notice that ' .. vements will be made to certain real property, and in accordance with Section <br /> 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> 1.Description of property (legal description)Q , 2 '; f al /f LLS" - 9 / 0 T'// . 7e <br /> a) Street (job) Address: .. ; p r "7 ' r - 97,7 /-71/4- /-71/4- Pi- + 3 Z I <br /> 2.General description of improvements: gR •, / - <br /> 3.0wner Information A l N ie DQ �C-c..c1b _ <br /> a) Name and address: $d l % `V SI . Z @ Ph Nc ; `AC 3 3 I - <br /> b) Name and address of fee simple titleholder (if other than owner) <br /> c) Interest in property -- <br /> ' 4.Contractor Information HOME IMPROVEMENT SERVICES — <br /> a) Name and address: 14377 US 19 NORTH, CLEARWATER, FL, 33764 <br /> b) Telephone No.: 721- 530 -0412 FaxNo.(Opt) 727 -539 -6912 <br /> S_Surety Information - <br /> a) Name and address: <br /> b) Atnountofl3ond: PAULA S. O'NEIL, PASCO CLE COMPTROLLER <br /> c) Telephone No.: Fax No. (Opt.) - 0 OR BK 91 o <br /> 6.Lender 7 M PG sb oi <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 /> S.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 <br /> is 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 i <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATEOFFLORJDA WANED K. +lfltt0u6HBT <br /> COUNTY OF PINELLAS Notary Public. State of Florida 1 O ,� , 1 1 c- __ <br /> My Comm. o xp ire Oct. t. <br /> ( 19.2009 Signature of Owner or Owner's Authorize cer/Director/Partncr/Manager <br /> l ice \A- be.. c 00 <br /> Print Name <br /> The foregoing instrument was acknowledged before me. this \ day of �- e T , 20CP% by <br /> jo . ( . JApo olas 0 w 4 cc14-- (type of authority, e.g. officer, trustee, <br /> attorney in fact) for / (name of party on behalf of whom instrument was executed). <br /> Personally Known _- OR Produced Identification `✓ Notary Signature 'N - <br /> Type of Identification Produced "•' i "' Name (print) Cr iJ '1 YYQ 1,1 . Ck l p _ ■ k <br /> b - a3s - 03e- 38- icOt -o <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.r,sd2007 ✓ J f��( r�� /-1. ,„.-� — - <br /> Signature of Natural Person Signing (in line 11 .) Above <br />
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