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09-9888
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09-9888
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Last modified
1/11/2011 9:24:04 AM
Creation date
1/11/2011 9:24:01 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9888
Building Department - Name
STRUBLE,KEVIN
Address
5301 19TH ST
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2009177566 <br /> Rcpt:1277787 Rec: 10.00 <br /> DS: 0.00 IT :0.00 <br /> 12/11/09 Dpty Clerk <br /> • <br /> NOTICE OF COMMENCEMENT PAULA S. O'NE1 : PASCO CLERK CLERK & COMPTROLLER <br /> 12 OOR 1 BK 9 8 L PG <br /> 0 YJ ic 1954 <br /> Permit No. <br /> Property Identification No. j1- d — (_QI0 - /77 0040 <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 in this NOTICE OF COMMENCEMENT. <br /> J � i d $ <br /> I.Description of property (legal desc , t � � Z2 t 4 )' 1 „ a .. J. - i 6.-P Lo-1 38 � 1'� 7 <br /> a) Street Address: * Lir�`�s��� 7T: IWI _ <br /> 2.General descrip ion of improv .. ents: n <br /> i • i • � l%T► a 1r lV a a?i Js �.',777it1P.l Yt�f <br /> 3.Owner Information f / ��)) f ' / <br /> a) Name and address: We iii ru 6 /P. 1 ,t 5 Forbes Rd . 7 .A yr �,' 33..CY' 0 <br /> b) Name and address of fee simple titleholder (if o than owner) J <br /> c) Interest in property 3 y <br /> Frontractor Information A,,/) ,? . (•V _II J <br /> a) Name and address: p W, / f 7 P/34/ `/� 1 I k L 33.; yl <br /> b) Telephone No.: 1 i 1 • - Fax No ( tc) //( V <br /> 5.Surety Information <br /> a) Name and address` , <br /> b) Amount of Bond: // <br /> c) Telephone No.: Fax No. (Opt.) <br /> 6.Lender J� <br /> a) Name and address: r / <br /> Phone No. <br /> 7. Identity of person within the State of Florida designated weer upon whom notices or other documents may be served: <br /> a) Name and address: ./Yon LJ SI , • <br /> b) Telephone No.: / / J 777() Fax No. (Opt.) <br /> 8.In addition to himself, owner designates the followmg person 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 /> • 7g. _ <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF i , a `: ; L <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 1. '. <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE 1 <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. . <br /> STATE OF FLORIDA . _ .. —i= <br /> COUNTY OF PASCO 1 / . I. I ..11 11 ►�� L � as + <br /> Si 'oza .. . a .' Au .or •-• Offi sirector/Partner/Manager <br /> Print ame ' (n W ti to W U <br /> The foregoing instrument was aclmowledgeil before me this // day of �(� e j " , 20 t , by U O .o <3 i -1 r <br /> as ev K 4j r ,e (type of authority, e.g. officer, trustee, attorney O 0 W j N <br /> in fact) for t ,P/ Q name of party on behalf of who •. ' . • ∎ent was e. -, uted). d O a W H W <br /> Personally Known _ OR Produced Identification f/ N otary Signature / , j 1. . at_, // C , k„ O _ - - 11 <br /> Iry ,ems erg, r� n T`� 1 >' O LL 0 <,„„ _ 0 <br /> , ..1(rir?:iU1vFIG () 1- <br /> Type of Identification Prodduced rt< D /r t VE,VS Lic . Name (print) = I - O > - U Y \ 1 <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of , I decl 147.34045y¢ Y flt. d at Q 1- < U <br /> the facts stated in it are true to the best of my knowledge and belief. 401,41 0 >- U 03 0 LL <br /> u_ O � <br /> � - -- a F Ct a Q > W <br /> i AA A....4 � �` <br /> 0 CYD LL.} . Az <br /> Sign' o Pers. •' gni ..... .Above -J t.tW 0 0 <br /> FORMS/NOC•rv,007 Lt. 0 U cc O <br /> d2 <br /> O CD 0 <br /> W cnQuww <br /> 1- I ct <br /> z co <br />
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