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09-9678
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2009
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09-9678
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Last modified
1/10/2011 9:15:56 AM
Creation date
1/10/2011 9:15:54 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9678
Building Department - Name
MARTIN, JOSEPH
Address
4938 17TH ST
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/ 11111111111111111111111111111111111111111111111111111111111 <br /> 2009162631 <br /> MOORES FIRST ADDITION TO , P 1 PG 57 LOT 14 <br /> BLOCK 3 OR 1676 PG 268 <br /> Rcpt: 1270124 Ree: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> . _ , 10/23/09 Dpty Clerk <br /> NOTICE OF COMMENCEMENT PAULA S. O 'NEIL , PASCO CLERK & COMPTROLLER <br /> 10O R 3 BK PG <br /> 9 1cv <br /> Permit No. \ <br /> fi <br /> Property Identification No. • l ., l Y --7 ` :.2 6 ^ 2 l - 0 a / g ~ a°3 0G —O I tr • <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section <br /> 713.13 of the Florida Statutes, the following pr�,yic informAilis 1012,i&BO CZy QF C Mp1F, * k T. L <br /> 1. Description of property (legal description :) 77"5.• 3 dd�r S l o� f pl V f"` w t _ = - / ( [ <br /> 1 <br /> a) Street Address: t . . 1 �� . • , • . _ 2 r' <br /> 2. General descri of improvements: 1r HL / <br /> .ri 3. Owner Information <br /> • <br /> CTOS h Ill rnn) ' i s G 40 � V <br /> a) Name and address: W �as ¥' f3 8 i 7/ 41 •>1...4_-.,. /t e< Q! r4 33-, ,..... t { Z <br /> b) Name and address of fee simple titleholder (if other than owner) �� <br /> c) Interest in property <br /> 4. Contractor Information <br /> a) Name and address: F"...- (tj( San, t R S ' owno.,e) <br /> b) Telephone No.: 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 ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> < 1— W <br /> STATE OF FLORIDA A O C7 W lJ.. d' W COUNTY OFPASCO gnature of wner's uthorized Of ficer/Director/Partner /Manager V z I Z 4 J U <br /> 1/4 723-4. 1ti.G /et Q O V 0)J v 0 F <br /> Print Name a. O el 1-- LLl cvcc F— R _ rel • �' L1 u LL w a w <br /> The foregoing instrument was acknowledged before me this 3 day of �� 20Q�, by 1 ph h O 0 = Z J 2 O <br /> as (type of authority, e.g. officer, tee, a omey L.L. C I Q O <br /> in fact) for (name of party on behalf of whom instrument w executed). n__>•• <br /> W 0 Q V U <br /> M1= ->-Uu_ elf <br /> Personally Known OR Produced Identification Notary Signature / 0 Q O 00 % ' <br /> / X00 III r / �/ Q 1 <br /> Type of Identification Produced {� L - 0,, e,- ( 1 c , Name (print) l� 1 '∎ Z • G.-4% L� _C3 >- U m Q U it <br /> a'�EraZ O_. t <br /> 0re x�z aW <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that IL 1 - 1 - 1 O O >- p Z <br /> the facts stated in it are true to the best of my knowledge and belief. o O p 0 LY S O �, <br /> IlICAQW it Q i <br /> lgnature of N ural Person Signing Above 4;r j ,•, <br /> FORMSMOC,rvs• • KEVIN R. I DICK <br /> , ' T MY COMMISSION M DDI112549 U) I— F 0 a m <br /> :' EXPIRES: Auguv 06, 2012 <br /> , i.IedSNDTMY - <br />
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