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10-10013
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10-10013
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Last modified
1/26/2011 8:32:50 AM
Creation date
1/26/2011 8:32:49 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
10-10013
Building Department - Name
DAHLBACK,DANIEL & GELONEK,BRITT
Address
4755 19TH ST
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L E G A L D E S C R I P T I O N : <br /> ASSESSED IN SECTION 14, TOWNSHIP 26 SOUTH, RANGE 21 EAST, <br /> PASCO COUNTY, FLORIDA <br /> MOORES FIRST ADDN PB 1 PG 57 LOT 3 BLOCK 26 <br /> OR 6955 PG 1429 11II11I11I11IIII1IIIIIIIIIIIIIIIIII111111111IIIII111110IIII <br /> 2010005726 <br /> Rcpt: 1282737 Ree : 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 01/14/10 _Dpty Clerk <br /> NOTICE OF COMMENCEMENT <br /> PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> 01/14/10 liggp 1 of <br /> OR BK 55 P6 7 <br /> Permit No. i <br /> Property Identification No. /V"; G - Z / D O/0 - Q Zb 0D - (>OJ1) <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 /> 1.Description of property (legal description:) S'eeE ,9.6pv <br /> a) Street Address: 4755 19th Street Zephyrhills, FL 33542 <br /> 2. General description of improvements: R e r o o f House 3 tab Shingles <br /> 3.Owner Information <br /> a) Name and address: Daniel Doglback 4755 19th St. Zephyrhills, FL 33542 <br /> b) Name and address of fee simple titleholder (if other than owner) <br /> c) Interest in property. <br /> _ <br /> 4.ContractorInformation A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, F1 33542 <br /> a) Name and address: <br /> b) Telephone No.: 813 Fax No. (Opt.) R 1 '1- 7 S {1 -1 R () 5 <br /> 5.Surety Information l <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 • ■ • TTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMEN' .. k ENT. <br /> STATE OF FLORIDA , / _ )4t, <br /> COUNTY OF PASCO <br /> re , er Ii lit to' O lc r Director/P ztnerlManaQer <br /> Print Name <br /> The foregoing instrument was acknowledged before me this (/ day of "i )4: 20 by <br /> as ( (type of authority, e.g. officer, trustee, attorney <br /> in fact) for (name of party on behalf of whom in•,A , ent was ex cuted). <br /> Personally Known OR Produced Identification Notary Signature di,: . �r <br /> .■_ 'Alr <br /> Type of Identification Produced N s <br /> Name (print) J i • <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penaltie • f perj I d e that I ha e read th regoing and that <br /> the facts stated in it are true to the best of my knowledge and belief. <br /> NOTARY PUBLIC -STATE OF FLORIDA %,. <br /> l�� "b•, Richard C. Bartlett Si y r e o I atu Person Signing Above <br /> Ae <br /> FORMS /NOC,rvsd2007 _ _ . 1. CO IIlII1 1 S S 10II DDg�8490 <br /> $ Expires: JULY 31, 2013 <br /> B ONDED THRU ATLANTIC SON'DINO C0.1NC. <br />
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