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10-10042
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10-10042
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Last modified
1/26/2011 9:22:51 AM
Creation date
1/26/2011 9:22:49 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10042
Building Department - Name
ROBERTS,JO AN
Address
4934 9TH ST
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1 11111111111 1 1111 11111 11111 11111 11111 11111I I I I 1 11111 1111 1111 <br /> 2010009542 <br /> Rcpt:1284079 Ree: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 01/22/10 Dpty Clerk <br /> PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> 01OR2BK0 otl 30 <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. f 1 -- A6 oZ. f C — " a'©$CO -- p /RC <br /> THE UNDERSIGNED hereby gies notice that improvements will be made to certain real property, and in accordance with Section <br /> 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> 1. Description of property (legal description :) P1400 "t' FE T 4 U A6 8/ Rs Aloi4il 30n <br /> a) Street Address: _ , ,111151111701W?', 3 <br /> 2. General description of improveme ts: <br /> AcIAL f-r Few( 51b/14 4 G'j-/ <br /> 3. Owner Information <br /> a) Name and address: d0 M /1 g e p. ¥9,3fe sT t ,, fl / <br /> b) Name and address of fee simple titleholder (if other than owner) - Y <br /> c) Interest in property <br /> iipmh 4. Contractor Information ev ' ` 3 J / G L <br /> a) Name and address: �/v 2,>4T Kf N 5 ' i / ' <br /> t <br /> b) Telephone No.: 4.,„ ,? ^ % '. ^ �S' 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 /> STATE OF FLORIDA <br /> COUNTY OF PASCO ri <br /> Signature of Owner or er s Authorized cer/Director/Partner /Manager <br /> e. put e_ CAs1 ,! <br /> Print Name <br /> e <br /> The foregoing instrument was acknowledged before me this 24.9lay of ..11)1.)'1 , 20 (d, by CA <br /> as __,�n 3T_ r'. (type of authority, e.g. officer, truste- <br /> in fact) for 3'bA&,1J '160i ' 5 (name of party on behalf of whom instrument was executed). ' <br /> Personally Known/R Produced Identification __ Notary Signature ! j „ Jiti` <br /> Type of Identification Produc MICHELE D to 0 1 R p� r I y� <br /> YP Not ary Public, State of Florme (print) �l 1 ✓ , 1 <br /> iir:,: CommissionfDD834775 <br /> My comm. expires Oct. 28, 2012 <br /> Verification pursuant to Sectio yt.323, r_oriaa 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 /> Signature of Natural Person Signing Above <br /> FORMS /NOC,rvsd2007 <br /> STATE OF FLORIDA, COUNTY OF PASCO <br /> THIS IS 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 HA • • OFFICIAL SEAL THIS <br /> � DAY '�l��d , l... s F SLS-u- <br /> PA mo El :fi' K & CO i ROLLER <br /> BY iii....06:.._. ' -. •tERK <br />
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