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10-11195
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10-11195
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Last modified
8/16/2011 1:05:07 PM
Creation date
8/16/2011 1:05:05 PM
Metadata
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Building Department
Company Name
SLEEPY HOLLOW MH SUB DIV
Building Department - Doc Type
Permit
Permit #
10-11195
Building Department - Name
SLEEPY HOLLOW MOBILE ESTATES
Address
38627 WARMINSTER LANE LOT 159
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Mg,..0..Memmum2amak 1111111111111111111111111111111111111 <br /> 2010160651 <br /> Permit No. <br /> • <br /> Property Identlecaeon No. f)4 PJ// ooac90 —11110 seco <br /> THE UNDERSIGNED hereby give informs you that the improvement roll be made b certain real property, and in <br /> section 713.13 tittle Florida Settees, the following information is provided in 61s NOTICE OF COMMENCEMENT. <br /> - <br /> 1. Description of properly pegs/ desafpdow) . id / KJ '1 f),41 <br /> a) Set ke Address: 3,4 Irr.w.f7446ormialmmair_AriTimAl P\ <br /> 2. General description of improvernentx Replacement Vandow Installation. <br /> 3. Owner Infonnadon 60Orly ‘ r 611 : 0A/ <br /> a.) Name and Address 264.27 .4/4.-,,,,J1- 4 2.# k j ..Z.71"Y Z <br /> b.) Name and address of fee simple title holder (if other Main arifle0 r / <br /> c.) Wind In property . <br /> 4. Coneactor Initirmalon (A.-4-4e,h) <br /> L) None and address 511111M11 Eireckenridge Parlswar Tama. R. 33610 <br /> b.) Telephone No.: Reel 945-3199 Fax Na (opl) <br /> Rcpt1334798 Rec: 10.00 <br /> 5. Surety Informalion <br /> DS 0.00 IT: 0.00 <br /> a.) Name and addresx <br /> 11/05/10 S. Shultz, Dpty Clerk <br /> b.) Amount at Sant <br /> C.) Telephone Na Fax No. (op5 <br /> PAULA S. 0 NEIL , Ph . D . PASCO CLERK & COMPTROLLER <br /> e. Wan <br /> 11/05/10 02:44 pm 1 of 1 <br /> a) Name and Address <br /> OR BK 841 PG 807 <br /> Phone No. <br /> 7. Ideally of person Mein Me Siete of Ronde designaled try owner upon whom nofices or other documents may be servect <br /> a.) Nemo and address: <br /> b.) Telephone Fax No.(opt): <br /> Lin addllon to likostelf, armor desIgnaleri foe following person b receive a copy of the Liana's No as provided in Section <br /> 713.13(1)(t), Founds Statutes; <br /> a.) Name and Adiress <br /> Telephone No. Fax Na. (opt) <br /> 9. Expiration date of Norm of Commencement ( the expirabon date is one year from the date of reconeng unless a dim date is <br /> sPecified): <br /> WARMING TO OMMElt ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> 07 t , m_MPOPI7P.MPRT ARP mItIgHOPRED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION713.13. <br /> sTATtri Atrir CA RESULT DSF FOUR PA WACE FOR IMPROVEMENTS TO FOUR PROPI <br /> iF c. ilitTEZD OSTAIN -77C.:PZ-fEr? <br /> COMM-- 1-VORIC QR tr•TY::-P <br /> x.54 <br /> of Owner or P Autnartzedalloriagedoweriar I Menem <br /> _ (71) y 6d, c" 45N) <br /> The foregoing instrument was acicnowledged before me Yes 2": deT of atCbe- 2Il iek " C o 2 tbo 4 <br /> iTypa uf authorfty, <br /> for <br /> ( name of patty on bailee of was — <br /> - , / <br /> Personalty Known )e Or Promisee ioentirication Notaty SAgnature 411/Arrr; ki - <br /> Type of frientincatton Produced Name (Min) 21....q4,1 4 N <br /> D ALFRED SAUGHN <br /> nerification pursuant to Section 92.525. Ronda Statues. Under penalties of perjury, I declare the have read the tregoing and that the RIC <br /> facts slated in ft are true to Me best of my knowledge end beef. Notary Public, State o fr, y■ 4 <br /> My Comm 2 <br /> FORMIONOCseass7 <br /> .4e4G.id <br />
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