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09-9211
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09-9211
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Last modified
3/21/2011 1:49:27 PM
Creation date
3/21/2011 1:43:48 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9211
Building Department - Name
BASS,TROY
Address
5236 5TH ST
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2 // p8 /z;- 3 Y X 0 / 5 /s -- /6 - / 7 /.3//' / 3 � <br /> G 1Z 7S 5 Po- S S 5- 1111111 1111111111111 E 1111111/1 M111111111111 <br /> 2009083331 <br /> Rept:1248610 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 06/16/09 —_ Dpty Clerk <br /> PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> NOTICE OF COMMENCEMENT 06/16BK9 08: 1 of <br /> 81 <br /> ffg PG 1780 <br /> Permit No. CI-111.0- <br /> ' . 7 1 1 <br /> Property Identification No. <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. Descri Lion of property (legal descri tion :) I - - 0 0 70 00 - /5 /9 4.3/ <br /> Street Address: � �- 7 2 , S ! <br /> 2. General description of improvements: Ail u ,z G 6- Are/46-2/' <br /> 3. Owner Information _ <br /> a) Name and address: Teo/ 13/1 SS /? 0 /3 oX. ' 3 / 2 h' /G4 5 / `L 3 5 Y/ <br /> b) Name and address of fee simple titleholder (if other than owner) <br /> c) Interest in property 0 vt/iv Z- <br /> 4. Contractor Information <br /> Name and address: /3d� (x%' {� 375/ �OSS/ /C rQ Z� �1Ci Y�S /` 35- <br /> Telephone No.: er/ 3- 7 / „3' -Z 3 3 3 Fax No. (Opt.) <br /> 5. urety 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 otO er ocumeiits may be served: <br /> a) Name and address: /3dh 14"&C) d Z-/Pi / /j AC 3 3 - <br /> b) Telephone No.: gi 3 7 3 2 33 3 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.: r - -- 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 n <br /> Signature Off weer or Owner's Authorized Officer/Director /Partner/Manager <br /> TZO Y /3/7S5 <br /> Print Name <br /> The foregoin ins tr invent was acknowledged before me this 6' day of � J �j(jtJ.P , 2009 by 7;u2,, <br /> S 5 as D W O11 (type of authority, e.g. officer, tru tee, attorney <br /> in act or (name of party on behalf of w instrument was executed) <br /> Personally Known OR Produced Identification k Notary Signature 5 F /' - � aY <br /> Type of Identification Produced } <br /> C . N ame (print) <br /> LA P112 <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 /> FORMSMOC,rvsd2007 <br /> Signature of Na - "rson Signing Above <br />
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