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10-10341
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10-10341
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Last modified
1/28/2011 11:23:30 AM
Creation date
1/28/2011 11:23:29 AM
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Building Department
Company Name
FLORIDA MEDICAL CLINIC
Building Department - Doc Type
Permit
Permit #
10-10341
Building Department - Name
FLORIDA MEDICAL CLINIC
Address
38135 MARKET SQUARE DR
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11111111111111111111111111111111111111111111111 1111 1111 1111 <br /> 2010045688 <br /> Rcpt:1297253 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 04/01/10 L. Sagastume, Dpty Clerk <br /> PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> NOTICE OF COMMENCEMENT 04/ 01a35p� P PG of 1788 <br /> Permit No. VQ <br /> z 0 s 00 <br /> Property Identification No. © t- _ / �� o <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 information is provided in this NOTICE OF COMMENCEMENT. <br /> 1. Description of property (ie. al descr .lion : " • O (.) ,. Pit <br /> a) Street Address: `, \ 3 11 ' rl g ' •y allg. <br /> 2. General description of improvements: J: �i��t r � <br /> r ∎ _ <br /> • I , % 4 a A t r ' ptrkc>` 5 pr re— /� <br /> b) Name and address o fee simple titleholder (if other than owner) i hyrAi //5 f L <br /> c) Interest in property 2 ICY 4. Contractor Information �+ 3 <br /> �� Y Z <br /> a) Name and address: MaA. -C�U:S C th € ca., / i So /"r'i'+s Y14' to M Lk <br /> b) Telephone No.: _ _ - r- l No. (Opt.) <br /> 5. Surety Information ' r <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 • ,. / Nje, (� n J� COUNTY OF PASCO ��(,^J- (�LJ V wne ' s Director /Partner onager <br /> le n L e O� rz 0Fh <br /> The foregoing instrument was acknowledfed before me this d' S day of ! 1 20 / 0 , by Life. <br /> as . A 1 e 0 i p i>L�y 2•' (type of authority, e.g. officer, trustee, attorney <br /> in fact) for N. tr T ee, I &r i ♦ t n: a of party on behalf of who instrument was executed). <br /> Personally Known OR Produced Identification /lair/' <br /> Type of Identification Produced Name (print) Nr Dykes <br /> 00611822 <br /> 111 JI$ r {, IMO Expiration aft <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 /> Signature of Natural Person Signing Above <br /> FORMSMOC,rvad2007 <br />
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