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09-9002
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09-9002
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Last modified
1/12/2011 11:59:16 AM
Creation date
1/12/2011 11:59:13 AM
Metadata
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Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
09-9002
Building Department - Name
NICHOL,VERNON
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• 1111111 11111 111I1 11111 11111 11111 11111 111111111111111 11111111 <br /> • 2009064874 <br /> Rcpt: 1242549 Rec:10.00 <br /> D5: 000 0.00 <br /> 05/ Dpty Clerk <br /> S, O'NE IL, PASCO ERK 8 COMPTROLLER <br /> 05/ <br /> 0 5/il/09 , of 1 <br /> OR 6K „ 1 <br /> +1 1032 <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No.3 - .26 - : of C /Sv —000'O- 20.2_0 <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_ informat is provided in this NOTICE OF COMMENCE1n NT. <br /> Gran M gjLo Ais - Phftse Fo c�rc- P6 6/ , U�3 <br /> 1. Description of property (legal description :) IJ I .3 2 0 : .0 i , P6 /67I <br /> a) Street Address: U fk- u_ 2. _ if - V _S 3 As. <br /> 2. General description of improveme <br /> 3. Owner Information J � <br /> a) Name and address: I' 1(IVD/tl N/ C# «707 / /(/%JCp �.e. 2 relt S <br /> b) Name and address of fee simple titleholder (if other than owner) ;, <br /> c) Interest in property 0 , 0N e, • <br /> 4. Contractor Information 1 I t <br /> a) Name and address: , 1 i . ,� & 1 I: 1 i� °' - • ;! <br /> b) Telephone No.: .S, - 2 8 7 -cj //Z pc No. (Opt.) <br /> 5. Surety Information � a / Rue_ <br /> � Q .� 3 / c � <br /> a Name and address: LA)/ /\)44A. b v <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 AE1'ER 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 C NCEMENT. <br /> STATE OF FLORIDA <br /> PASCO g G <br /> COUNTY OF PASCO X � <br /> Signature of Owner or er's Authorized Officer/Director/Partner/Manager <br /> Print Nanfe <br /> The foregoing instrument was acknowledged before me this 7 day of , pif/J , 2 , by j/Xi'A Z'A) ,A/ //�Ge <br /> 4G9 iY (type of authority, e.g. officer, trustee, attorney <br /> in fact) for , szvrx me of party on behalf of whom instrument was executed). <br /> Personally Known OR Produced Identification v Notary Signature Ct MCNE i TILL <br /> �. y <br /> /We- /4W / , 0/�,4 -. /G S rid ail •,: MY COMMISSION # DD 678625 <br /> / EXPIRES: May 28, 2011 <br /> Type of Identification Produced �/��f�6�jb Name (print) /�L l ; " ea,a.a rim Nctery Public Underwriters <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalf' " s perjury, I d- - - that I have re e foregoing and that <br /> the facts stated in it are true to the best of my knowledge and belief. <br /> PORMSMOC <br /> I OF FLORIDA, COUNTY OF PASCO of Natural Pero ,igningAbove <br /> TO CERTIFY THAT THE FOREGOING IS A <br /> TRUE AND CORRECT COPY OF THE DOCUMENT <br /> ON FILE OR OF PUBLIC RECORD IN THIS OFFICE <br /> WITNESS MY HAND AND OFFICIAL SEAL THIS <br /> PA DAY OF ` �¢' 2/20 <br /> S . 0' NEIL, CLERK & COMPTROLLER <br /> BY <br /> 'l- D:PU CLERK <br />
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