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11-11435
Zephyrhills
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2011
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11-11435
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Last modified
10/18/2011 2:53:05 PM
Creation date
10/18/2011 2:53:03 PM
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Building Department
Company Name
PARKHILL
Building Department - Doc Type
Permit
Permit #
11-11435
Building Department - Name
KUFFER,WILLIAM & JANET
Address
6023 16TH ST
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111111111111111111111111111111111111111111111111111111111111 • <br /> 2011009552 <br /> Rcpt:1346560 Rec: 10.00 <br /> DS: 0.00 IT 0.00 <br /> 01/20/11 A. Giard, Dpty Cl erk <br /> PAUL: S.O'NEIL,Ph.D.PRSCO CLERK & COMPTROLLEF 1 03 OR BK 1 85 4 PG 2379 <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No,Q a (o —a I — 0 1:30 - O - coos <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with <br /> Section 713.13 of the Florida Statut s, the following inf. mat'on is provided in this NOTICE OF COMMENCEMENT. <br /> 1.Descii on f�; �1 Sci'' - (And- I ': 1 PG- 7o Lo-F, <br /> p property (leg descri tion:) It- $ a$ G- col <br /> • <br /> a) Street Address: (�� V.Q <br /> 2,Generf escription o f i i ` rovements: �� �� '1i. <br /> 3,Owner Information . 'p l �p <br /> a) Name and address: � I(t)► 4✓► t F - ' ' YAP '1� (k-(�(� l� / f l <br /> b) Name and address of , � I fee simple titleholder (if other than owner) 1dJ G �" y Q � l � /C <br /> c) Interest o property a © ` a <br /> 4. ontractor Information P <br /> a) Name and address: � . ✓tl _ J 2 � [ r / / <br /> b) Telephone No.: 'I�Eeiri 1` 5 - / lCe� <br /> 5.Surety Information j" Fax No. (Opt.) 33 <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: <br /> 6.Lender — Fax No. (Opt.) <br /> a) Name and address: <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices es or other documents <br /> a) Name and address: is may be served: <br /> b) Telephone No.: <br /> 8.In addition to himself, owner designates the following person to receive a -copy of the (Opt.) <br /> Lienor's Notice as <br /> 713 .13(1)(b), Florida Statutes: <br /> in Section <br /> a) Name and address: <br /> b) Telephone No.: <br /> 9.Expiration date of•Notice of Commencement (the expiration date is one year from the <br /> m of recording unless a different date is <br /> specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY TIII', <br /> COMMENCEMENT ARE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SE <br /> FLORIDA STATUTES, AND CAN RESULT CTION 713.13, <br /> A NOTICE OF RESULT IN YOUR PAYING "TWICE FOR IMPROVEMENTS TO YOUR PROPS <br /> COMMENCEMENT MUST BE RECORDED AND POSTED ON THE T <br /> INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR EN JOB SITE BEFORE THE FIRST <br /> COMMENCING WORK OR RECORDING YOUR NOTICE i LIJDLR OR AN ATTORNEY BEFORE COMMENCEMENT. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO ' �` " "' """ • <br /> • <br /> '" � s ,, Notary Public State of Florida Mil °' , <br /> �hrtsBan Ryman Signature ■ •ca or Owner's • u I�rize. • /� <br /> �ammisSjOn 00751610 �' /Director /Partner /Manager <br /> t11,..012 l� i <br /> . <br /> Print Name <br /> A MI <br /> The foregoing instrument was acknowledged before me this 18 - • � • <br /> as <br /> clay of�p ZO, by J G... } <br /> in fact) for type of authority, e.g. officer, trustee, attorney <br /> (name of party on .behalf of whom ins••...: - • , <br /> - • - nuked). <br /> Personally Known OR Produced Identification <br /> Notary Signa we _ ---- <br /> Type of Identification Produced hi____ n <br /> Name (print) C1�r ; a.. <br /> . l <br /> ✓erification pursuant to Section 92.525, Florida Statutes. Under penalties ofperjury, I declare that I have <br /> he facts stated m it are true to the best of my knowledge and belief. read the foregoing and that <br /> _-_ ��4 7 L _ � <br /> ORMS /NOC,rvsd2007 Signatur . Natural Person Signing Above 4111P, <br />
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