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09-9663
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09-9663
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Last modified
1/10/2011 8:55:36 AM
Creation date
1/10/2011 8:55:35 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9663
Building Department - Name
JUSTICE, GUY & TERRI
Address
4721 LARCH DR
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���.aR11�A, COUNTY OF PASCO 1 11 1111 11111 1 111111111 11111 11111 11111 11111 11111 11111 1111 1111 <br /> Hit iS TO CERTIFY THAT THE FOREGOING ISA 2009148162 <br /> TRUE AND CORRECT COPY OF THE DOCUMENT • <br /> ON FILE OR OF PUBL#C RECORD IN THIS OFFICE DS I T 0 00 1268744 R : 10.00 <br /> " WITNE S MY HAND AND 0 ICII4 SEAL THI 10/15/09 ____ T : Dp00 Clerk <br /> PA DAY Or t ej] 2 al ,' <br /> Ul -A O'NE)L, CLERK COM LER PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> f 1 <br /> BY � � , . , _ // PUP/CLERK CLERK OR BK <br /> 10/15/09 7 J 1 PO o 1157 <br /> 1 I/ NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. 1 5`a(,,, - •a 1 -- © 1 (oo - 00009 - oog0 <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 information is provided m this NOTICE OF COMMENCEMENT. <br /> Cu Yk6P oa1CS n <br /> 1.Description of property (kcal description: o' j [ IP G j , -g 7 - L f ( o S L f (t a 1" 6- I0Ab <br /> a) Street Address: 4 ' a l LC0 -C 1 r . Z , ' -r t l 1S F- 33 s-cf, <br /> 2.General description A improvement AL <br /> 3.Owner Information _ <br /> a) Name and address: 6 �\J 3 - k 1 err % L _ 3 u � f ,c �- 1? J V( �r • Z <br /> b) Name and address of fee simple titleholder (if other than owner)� 11( S <br /> c) Interest in property 33 Z <br /> ntractor Information <br /> a) Name and address 2 Col le--0 W. n 3 614 (3 SP Sy Z 1 s b) Telephone No.: , I ' 722- Co DC( Fax No. (Opt.) 3SY 1 <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: • 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 ,, 0 U INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENC R € " ;Ii . OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLID O C M • ••ti ■ COUNTY OF RR ` I • <br /> , nr•J • . M I 46 Public State of Florida \ Icon ? (L" T 'G`hrlstian Ryman Signature of Owner or Owne uthorized • = icer/Director/Partner/Mana <br /> --Ai- W > : AA% Commission DD751610 —� <br /> `0 C o , o � 01/24/2012 �P >l • Ld ■ G <br /> a0 • r P Name <br /> z <O <br /> The fore oin " •••C .0 <br /> he g g'>ns> ' bent was ack 5 before me this 8 day of j' , 20,69 , by - <br /> °J ✓W \-1`�16 ' as 1 <br /> in fact) for " "'}' &' ° (type of authority, e.g. officer, trustee, attorney <br /> (name of party on behalf of whom ins ent was executed). <br /> Personally Known OR Produced Identification <br /> Notary Signature - <br /> � y <br /> Type of Identification Produced tra/er [ 1ci,sp Name (print) t:N 4 kx-, P. <br /> ra3a a90- 0'-1- 166 -0 <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 /> FoRMSiNOC,rvsd2oo7 Signature of Natural Person Signing Above ' <br />
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