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09-9068
Zephyrhills
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2009
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09-9068
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Last modified
1/13/2011 8:35:52 AM
Creation date
1/13/2011 8:35:52 AM
Metadata
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Template:
Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
09-9068
Building Department - Name
CARTER,TOM
Address
37551 LANDIS AVE
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111111111111 111111111111111111111111 ! 11111 1111111111 MIMI <br /> 2009055273 <br /> . . C1/4_4_,„ 14 ; ( i ,./ 1A---- 3' <br /> 1 Rcpt: 12391 <br /> fir r / 7//:751—ikli D5 2 7 Rec. 10.00 <br /> 0. 00 I T : 0.00 <br /> O� 04/22/09 Dpty Clerk <br /> i <br /> PAULA S. O'NEIL PASCO CLERK d COMPTROLLER <br /> NOTICE OF COMMENCEMENT 04O/R22/ 9 1 ,� 1 <br /> Permit No. <br /> Property Identification No. , ? _ Q O "., A <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 /> 1.Description of property (legal description:) C , Jot beNj Q <br /> a) Street Address: 3755tLandis Ave. Zephyrhills, FL 33542 Grand Horizons <br /> 2. General description of improvements: R e r o o r. MH 3 Tab S h i n g 1 P s <br /> 3.Owner Information <br /> a)Nameandaddress: Tom Carter 3755 Landis Ave. Zephyrhills, FL 33542 Grand Ho <br /> b) Name and address of fee simple titleholder (if other than owner) <br /> c) Interest in property <br /> 4.0 ci <br /> actor Information <br /> a) Name and address: A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, FL 33542 <br /> b) Telephone No.: 813 Fax No. (Opt.) 813 — 7 80 —18 0 5 <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 COMME ENT. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Ignature off� Owner roo(r.O��wne Au or ed Officer rector/Partner/Manager fk <br /> Print Name G <br /> i i <br /> - <br /> The foregoing instrument was acicnowledged before me this 2 day of 200 by <br /> as ' <br /> (type of a thori , e.g. officer, trustee, attorney <br /> in fact) for (name of party on beh1 of who.- ' % • me was executed). <br /> Personally Known OR Produced Identification Notary Signature �; � � t / <br /> • / <br /> Type of Identification Produced Name (print) / C fs .,, ��e, <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 /> i , <br /> y RICHARD C. BARTLEIT <br /> s MY COMMISSION # DD 447832 <br /> . EXPIRES: July 31, 2009 Signature of Natural Person Signing Above <br /> FORMS /NOC,rvsd2007 . ? Batd+dT IN <br /> ohr Public U <br />
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