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09-9592
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09-9592
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Last modified
1/7/2011 2:57:14 PM
Creation date
1/7/2011 2:57:11 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9592
Building Department - Name
MARSH, ANDY & AMY
Address
5026 17TH ST
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111 111111111111111111111111111111111111111111111111111111111 <br /> 2009136844 <br /> Rcpt: 1265404 Ree: 18.50 <br /> DS: 0. IT: 0.00 <br /> 09/25/09 __ Dpty Clerk <br /> PAULP S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> 09/25/09 0 1 o 2 <br /> NOTICE OF COMMENCEMENT OR BK P6 30 <br /> Permit No. <br /> a Property Identification No. 1 ( /0 — .Z /1/4:%C) / 1-0 c 7 c- <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 following inform on provided in this NOTICE OF COMMENCEMENT. <br /> Art Q D _ <br /> 1 .Description of property (legal description:) (� �i y ZP,Oht /r /fi /6 P9 / �� 5 LO /S a 3 l Ka <br /> a) Street Address: �j O 6 17 - r z / . j oi j Jl rj1 ( 1(S 1- - - "4 V <5 � <br /> 2.General description of improvements: <br /> 1-'t D PI T i o itl `� �c >�'l 57- ��1� <br /> 3.0wner Information <br /> a) Name and address: AND A \ �Y G ? II Ie s 6 Z _ /'�� S. <br /> b) Name and address of fee simple titleholder (if other than owner) <br /> c) Interest in property <br /> ' N4.Contractor Information 3 / ( o / E3 .E 0J? k F -7)/1,-//5 /. (4i-z_ 8 /1!i) ,3"5". <br /> a) Name and address: lam/∎/ . 61 Lrk l / t� /VQ L 5 t/ — w� / �'t� r �Z/ <br /> b) Telephone No.: 13— 1-6 9 - ‘7 Fax No. (Opt.) <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 AT RNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ,s � tas,rtrry .��� 5„ <br /> STATE OF FLORIDA " � * 4° COUNTY OF PASCO i " ^* >';f <br /> Signatur of Owner or Owner uthoriz d Officer /Oijrctor/P'a erI1 pa •�.� �� <br /> 4 , L <br /> Print Name w r <br /> The foregoing instrument was acknowledged before me th is d �J day of cc:C PTc#2l 6 '� 20C)7, b f <br /> l4 - r' -( as a of authori ty, e.g. of <br /> in fact) for (type tcer, trusf�e } tey <br /> (name of party on behalf of whom instrument was executed): ' <br /> Personally Known OR Produced Identification Notary Signature C e „..e 4.4 <br /> Type of Identification Produced Name (print) <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 JUNE C sum= Signature of Natural Person Signing Above <br /> 4 MY COMPAIS * <br /> sown <br />
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