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11-11589
Zephyrhills
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2011
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11-11589
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Last modified
10/31/2011 1:38:20 PM
Creation date
10/31/2011 1:38:15 PM
Metadata
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Building Department
Company Name
GRAND HORIZONS
Building Department - Doc Type
Permit
Permit #
11-11589
Building Department - Name
RICE,ERNEST & RAOLA
Address
37250 NEUKOM AVE LOT 207
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i iiiiii iiiii iiiii iiiii i�iii iiiii iiiii iiiii iiiii iiiii iiii iiii <br /> ��'U77CE UF C(1A9h9ENCEMEN? 2011030757 <br /> Rcpt:1353614 Ree: 10.00 <br /> Pernui No _ _ _ DS : 0. 00 IT : 0. 00 <br /> Ta�FohoNo �`�•�5�a/-o►7v-Oc9000-ao`�O 03/01/11 K. Garcia, Dpt,y Clerk <br /> THE LJNllERS1GNEll hrreby gives nonce �hat unprovemenis wi11 be made �o cenain real proPe�ry, ;u�d m accordance wnh Sechon <br /> 71 i 13 M ihe Flonda�Statutes the folluwin� inf��nnation is ��nvided m �Ms NnT10E nF ('(1M111EN('F,R1EN7 <br /> Gr�ri� �D�ZizunlS-�/1�tSG�2F� PB 53 P! /sp �,o r�, p7 o/Z 7731 Pb �3l, � w D <br /> 1 Descnption ot properry (legul drscriprion): _ Y- OX $a5'L�l 6� ? y< o� � � <br /> a <br /> , a) Street (job) Address 373S _ N�ttlCOr» l4vr/ Zy�b�rh� 11 s�_J�/ 335�/_ �- �� N <br /> 2 General deseription of iinprovements .Sh�e(�I e,c�e�Sip�y ���C/utlins . �� �� Z <br /> 3 nwner infonnaiion - - - -- - - - - - -- -- -- _ - - �F' � <br /> .� _ <br /> a) Name and address �;rNr�i�i��p �t/�� �� � <br /> �►�v_.s� �r.�r�/� �.1=/ - — - -�"a o <br /> b) Name and address of fee sunple ti!leholdrr (yf o[ner than o.vner) �� <br /> c) Interest in property --- - --- ----- - --- 3 $ <br /> 4 C'ontractor lnfonnation `g,�.� p D � Q,�,� FI 11� . — ---- -- — ---- ---- � �' � <br /> a) Nan�e and address. �1L'1�S 11ne .�" �� „� �� � � <br /> b chlt�riC� T � „ _,����L335�13 __ � <br /> )'felephone No 813-'1$� - 1(�l�y - r� -- � A <br /> Fax No (Opi ) �13 - i "- �y+ , <br /> S.Surery Inforanation �� � <br /> . a) Na�ne and address. <br /> b) Amount of Bond: -- -� � � <br /> c) Telephone No.. Fax No. (Opt.) -� --- � o <br /> 6.Lender " � <br /> — r <br /> a ) Name and address: � <br /> 7 Identiry of person w�thin the State of Florida designated by owner upon w om noa es or other dceuments may be served: <br /> a)Name and address: <br /> b) Telephone No.: Fax No. (Opt.) <br /> 8.1n addition to }uinself, ovmcr designa�es thc foJlowing person [o reccivc a copy of the Lienor's Noticc as provided in Section <br /> 713 13(1 xb), Florida Statutes: <br /> s) Name and address: <br /> b) Telephone No.: Fax No. (Opt.) <br /> 9_Expiration date of Notice of Co�nmencerrunt (the eYpiratioo date is one yenr from the date oi recording unless a different dyte <br /> is specified): <br /> �'VARNIING TO OWNER; qNY pAyMENT'S MApE BY THE OWNER AFTER THE EXPDtATION OF THE NOTICE OF <br /> � COMMEIVCEMEN7' qJ� CONSIDERED IMPROPER PpyMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, <br /> FLORIDA STATUTES, ,�1VD CAN RESULT I1V YOUR pqy�VG TVIRCE FOR II►�ROVEIVIENTS TO YOUR PROPER7y. <br /> A NOTICE OF COMMENCEMENT MUS7' BE RECORDED AND pOSTED ON THE JOB SITE BEFORE TIiE FptST <br /> iNSPECTION. IF YOU 1NTEND TO OBTAIN FIIVANCING, CONSUL? YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCIIVG WORK OR RECORDIIVG YOUR NOTICE OF CO1VI11�NCEMENT. <br /> STATE OF FLORiDA <br /> tN'Y'4 <br /> Coux�n' OF � �ti� No� AP�� of Florida O._ / �`', S. ��f :1 � �� , � / �� <br /> Bruce <br /> S uf Owner or Ownrr s Amhonzrd OtTicer/Direclur/Putnrr/Matwgrr <br /> �? �` MY Commissron DD989010 <br /> ar� Exp�res aeizzrtota _ Ee2N&ST �hi @c� <br /> Pnm Name � <br /> Thc forcgoing instn�mcnt was ac{rnowlcdgcd bclorc mc this � day of l�l iig2.,�_, 20�, by �/�/�,y <br /> � <br /> � (type of authoriry, e.g, officer, trustee, <br /> attorney in fact) for (name of pprty o � oi wbom instrumenl was eYecuted). <br /> Personally Known OR Produced Identification <br /> Notary S�gnawe - • <br /> Type of ]dentification Produced Name (print) _ �I�-c./G� � • �5�� � <br /> ��;�"�'"'�!�?`"". <br /> Verification pursuant �o Section 92.525, Florida Statutes. Under pen��ties of pequry,l declare that 1 have read the foregoing and that <br /> Ihe facts stated in it belief: <br /> o � ° W. Nofary Public State af Florida � � <br /> FORMSTJO�,�•�„Lpq7 : ��; Bruce A Asbel ' <br /> � �. � My Commission DD989010 �L �� � ����� �L � �l'� <br /> or � �W�s O6/22/2014 / S�Ltnswc of Nanua! perxon S�gmng lin �linr M 10.) Abovr <br />
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