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11-11587
Zephyrhills
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2011
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11-11587
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Last modified
10/31/2011 1:36:03 PM
Creation date
10/31/2011 1:35:59 PM
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Building Department
Company Name
TYSON
Building Department - Doc Type
Permit
Permit #
11-11587
Building Department - Name
RANK,DAVID & SHIRLEY
Address
6055 10TH ST
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Notice of Commencement I IIIIII IIIII IIIII IIII) IIIII IIIII IIIII IIII) IIIII IIII) IIII II�I <br /> - 2011027977 <br /> Permit No. <br /> Property Identification No. 02-Z6-21-0080-00100-0300 Rcpt :1352569 Ree : 10 . 00 <br /> os: e.0e ir: 0.ee <br /> 02/23/11 M. Dodd Dpf,y Clerk <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 in this NOTICE OF COMMENCEMENT <br /> 1 Description of property Qegal descriptron: ) TYSON SUB LOT 30 BLOCK 1 PAULR S 0' NE IL , Ph D PRSCO CLERK 8 COMPTROLLER <br /> a.) Street Address: 6055 1Dtl� Street Zephyrhills, �t. �saz 02�23/ 11 04,�,}8p� 1 of 1 <br /> OR BK g51 p� 11� <br /> 2. General description of improvements: Replacemeet Window Installation. rJ' <br /> 3. Owner Information <br /> a.) Name and Address David R. Rank fi055 10th Street Zephyrhilis FL 33542 <br /> b. ) Name and address of fee simple title hdder ('rf other than amer) <br /> c) Interest in property Owner <br /> 4. Contractor Information <br /> a.) Name and address Steven Irwin Rogillio-5810B Breckenridge Pkwy. Tampa Florida 33610 <br /> b.) Telephone No. (866) 946-3188 Fax No. (opt) <br /> 5 Surety Information Q �.- � � <br /> U <br /> a.) Name and address: u� w � � w W <br /> b.) Amount of Bond: �� u- = Q J <= <br /> �o� - � r <br /> c.) Telephone No. Fax No. (opt) �_ �._ <br /> C.Z rn J O � <br /> 6. Lender � W O i-- , � Q <br /> a.) Name and Address �(7„ a�� Q � <br /> Phone No. u_ <br /> T �u._CYU U <br /> � � � �� <br /> 7 Identity of person wdhin the State of Florida designated by owner upon whom notices or other documents may be senred: ��` >" �� �'� � t <br /> a.) Name and address: � Q Q ty_ � � <br /> b.) Telephone No: Fax No.(opt): " CU C1 � � <br /> I —t <br /> Ce1 �- L� CY] <br /> B.In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section u- �-� Z --� <br /> 713.13(1)(b), Florida Statutes: ��� a= a W <br /> a.) Name and Address ...] �� � G.� p Z <br /> b.) Telephone No Fax No. (opt.) ��-' �u' G � <br /> r� <br /> F� � � Q � <br /> 9. Expiration date of Notice ot Commencement ( the e�iratlnn date is one year from the date of recording unless a different date is ��" � <br /> specified): �"' � � U.. <br /> WARNINO TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF �~~�� � m <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION713.13, �, <br /> FLORIDA 5TATUTES, AND CAN RESULT DSF YOUR PAYINti T1MCE FOR IMPROVEMENTS TO YOUR PROPERT`l ! - <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 /> COMMENCINO WORK OR RECORDINCi YOUR NOTICE OF CdMMENCEMENT. ',�� <br /> STATE OF FL <br /> P �� 114't�pD�ROW tJIERRILL X <br /> _� •. �s'° ,, � A Si Wre of Owner or Owner�s AuThorized OlficerlDirectonPa er / Manager <br /> •�: <br /> r=Y (�t+l��4 ��SIOIV # JD926676 � <br /> o�; ��p!RES September 20, 2013 David R. Rank <br /> 407►�398-0153 �� FloridaNOlaryServ�ce.com PnrrtName <br /> The foregoing instrument was acknowledged before me this 14 day nt February 2011 by � r , � .r /hJ �/ <br /> � <br /> as (Type of authority, e.g, officer, trustee, attorney in fact) <br /> for ( name of party on behalf of whom 'nstrument was executed). <br /> Personally Known� ,r^ or Produced Identihcation X Notary Signature ,�_-��.�r '`��Gy� <br /> Type of Identrfica on Ptt - r�fdu�"ed ���� ��S �� Name (print) Woodrow Merriil <br /> verification pursuant to Section 92 525, Florida Statues. Under penakies of perjury, I declare the I have read the fnregang and that the <br /> facts stated in it are true to the best of my knowledge and belief <br /> FORMSMOC,rvsd2007 X \`/� / �— <br /> S1g�hre of Nahral Person Signing Above <br />
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