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10-10894
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10-10894
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Last modified
2/7/2011 1:59:45 PM
Creation date
2/7/2011 1:59:41 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10894
Building Department - Name
WARD,GARY
Address
5052 5TH ST
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NoticeofCommencement 111111100 <br /> 111111111011111111111111111111111111111111111111 <br /> 2010126476 <br /> Permit No. <br /> Property Identification No. / / S // r 2— 1 v c to ( / <br /> f , bo Q i ci c <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in <br /> section 713.13 of the Florida Statutes, the following information is provided inthis NOTICE OF COMMENCEMENT. <br /> Gir o+� ZP%'�y�lflu.s t3 1 P C " t,c s /44 / L 1 / <br /> 1. Description of property (legal descripfion:) j _ C & 3�i A- /3qq <br /> a.) Street Address: O • 1 rkt _S T Zee- yk /0 0 f FL- <br /> 2. General description of improvements: Replacement Window Installation. <br /> 3. Owner Information n A _ /� <br /> a.) Name and Address /` � £ AN /..) �b� � r S) 2.....e Pr <br /> e f y!( /iii <br /> b.) Name and address of fee simple ti le holder (if other t han owner) <br /> c.) Interest in property . 0LJ 1L <br /> 4. Contractor Information <br /> a.) Name and address William Blaine Underwood 5910 -B Breckenridge Parkway Tampa, FL 33610 <br /> b.) Telephone No.: (866) 946 -3189 Fax No. (opt) Rcpt :1324000 Rec: 10.00 <br /> 5. Surety Information DS: 0.00 IT: 0.00 <br /> a.) Name and address: 09/02/10 D. Ziegler, Dpty Clerk <br /> b.) Amount of Bond: PAULA S. 0' NEIL ,Ph.D.PASCO CLERK & COMPTROLLER <br /> c.) Telephone No. Fax No. (opt) <br /> 09/02/10 03 : 20 m 1 of 1 <br /> 6. Lender OR BK 8411 PG 1561 <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 1, SECTION713.13, <br /> FLORIDA STATUTES, AND CAN RESULT DSF 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 ATTORN BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCE ENT. <br /> STATE OF F •RIDPALNTY OF <br /> =o � e , Notary Public State of Florida X <br /> y 1 ; David Menn eke Signature of Owner or Owners uthorized icer /Director /Partner / Manager <br /> c My Commission DD974732 �� <br /> loi „o" Expires 03 /24/2014 '70_444 V \I C U <br /> • Print Name <br /> The foregoing instrument was acknowledged before me this + I() day of (,1 _ " 20 /tby C�Q_t.2,• k c2-Vct <br /> as (Type of authorit l .g. officer, trustee, attorney in fact) <br /> for ( name of party on behalf of whom instrument was executed <br /> Personally Known Or Produced Identificatiorf_ X Notary Signature (4, -C/���l.‘411)-e <br /> Type of Identification Produced fat D✓` `. /L Name (print) PA - 14 )) /h i'J]//V L'/L. <br /> ,` verification pursuant to Section 92.525, Florida Statues. Under penalties of perjury, I declare • e I have read the foreg 'ng and t t the <br /> facts stated in it are true to the best of my knowledge and belief. <br /> FORMSINOC,rvsd2007 X • C <br /> Signatu• of Natu-. -g Above <br /> or <br />
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