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10-10456
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10-10456
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Last modified
2/1/2011 9:18:27 AM
Creation date
2/1/2011 9:18:26 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10456
Building Department - Name
BUCKLEN,CINDY
Address
4752 9TH ST
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STATE OF FORMA, OGUNTY OF PASCO IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII IIIIIIIIIIIIillll <br /> THIS IS TO CERTIFY THAT THE FOREGOING IS A 2010066683 <br /> TRUE AND CORRECT COPY, OF THE DOCUMENT <br /> ON FILE OR OF PU LIC RECORD IN THIS OFFICE Rept:1304819 Rec: 10.00 <br /> WITNESS' MY HAND AN OFFICIAL SEAL THIS DS: 0.00 IT: 0.00 <br /> 1l DAY OF 2 0/0 05/12/10 K. Garcia, Dpty Clerk <br /> PAULA S. O'N -1L, CLERK & OMPT TROLLER <br /> PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> BY y �, // , ' DEPUTY CLERK 05/12/10 12:54 m 1 of 1 <br /> OR BK 830 PG 1217 <br /> • NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. /`/- 2 G 2-1 - LC /0 -C 2-900 _ 6/ ycp <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 thjs NOTICE OF CO MENCEMENT. <br /> Mcc..-a i I' -j4 C , f rc.. / Z tl.yp' , / J 0013 i /'LS7 <br /> 1. Description of property (legal description :) 4 +'r /.s f / <br /> -p nth, /C • <br /> � /` ch' ,2 # <br /> a) Street Address: L /75;x. 4 St '2. c l- t -j Y11,i / F / .3 3 5° <br /> 'i <br /> 2. General description of improvements: e ,„�r ‘.-% a 5 - yt<i. 14 3 - h3 <br /> 3. Owner Information J / <br /> a) Name and address: a vi t13 L �j v ( it lei-7 31 �/b (c /('tc, 17(7,JJC f "� �IJIfIE a .r'��^� 3 355/ <br /> b) Name and address of f e simple titleholder (if other than owner) , J <br /> c) Interest in property C` „ -f. ✓ <br /> 4. Contractor Information <br /> a) Name and address: r )t.o�Qi } FC A .. 1; c 33 /o / a Ap ,'Y33Si <br /> b) Telephone No.: S Cry - 7(, (,, 3 Fax No. (Opt.) S yam -- 97/, ? <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 <br /> Signature of Owner or Owner's Authorized Officer/Director/Partner /Manager <br /> 7 .JCC C2 4, <br /> Print Name <br /> The fryg¢ ug(nAtrumenti was acknowledge before me this ) day of , �'� L , 20 (1 , b `j ( C� <br /> � x as t / , w " ' C - '] L V -y pe of authority, e.g. officer, trustee, attorney <br /> in fact) for, ( � (� e r (name of party on behalf of whom instrument was executed). <br /> Personally Known OR Produced Identification Notary Signature C ( <br /> Type of Identification Produced Name (print) r 0,3 r 1 <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 /> FORMS /NOC,rvsd2007 <br /> I CO ANN KE <br /> I ? - �, -; N otary P - Stat of Florid a <br /> ` Ay Commission Exp Aup 17, 2010 <br /> a;, - Commission # DD 588503 d pV <br /> 4 ; ''''°R' Bonded By National Notary Assn. P <br />
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