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11-11621
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2011
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11-11621
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Last modified
12/15/2011 9:14:41 AM
Creation date
12/15/2011 9:14:39 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11621
Building Department - Name
MOORE,JAMES & MARY
Address
5251 19TH ST
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�� i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iui <br /> 2011037036 <br /> Rcpt:1355474 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 03/10/il A. Giard, Dpty Clerk <br /> Key No. Permit No. <br /> NOTICE OF COMMENCEMENT PpULR 5 0'NEIL,Ph D PASCO CLERK & COMPTROLLER <br /> ' 03/10/11 10:39am 1 of 1 <br /> THE UNDER5IGNED hereby gives notice that improvement will be made ; OR BK g523 P � �� "�� <br /> to certain real property and in accordance with Chapter 713, Florida State e - <br /> Statutes, the foibwing information is provided in this Notice of <br /> Cornmencement: � this space reserved for recorder <br /> _ ...................................�...._._.�... y _.. .......... � <br /> . _ .................... . ........ ,c <br /> 7`awn a�/' Z� � r% S 1 / l�.� r�rf i4�o�,�9 •- <br /> 1. Description of Pro e Parcel No. 6�'� �/� f$ �,� ,S'p <br /> v� 3 �i 'y'.1P.�cd�',3� 17; <br /> t1 -Z�'�-�t-ovio-1'7�00-40�� or Pg 765 �,,� / � <br /> {Legal description of the pro erty nd street address if available) SZ�J/ y�9 ,f� �iP/1✓j.�� <br /> P P /�GC .Sin /� � 1r+ / "" i • 33_'.�`�z- 7 <br /> 2. General Descri tion of Im rovement <br /> 3. Owner Infortnation• Name � L <br /> Address i � e ip <br /> Interestin rop e : � <br /> IYame of �ee Simple i e o er o e an owner : <br /> Address � te p <br /> Gontractor. Name /� � Q n S ROd �r� v� a.� n c• <br /> Address: I+,{� ° I S d�nc e�e f e.z n tty �,.no V �! �. te � Z�p ��� <br /> Phone No. .� �" a-/e 4- 3 3. A — Fax f�o. �- 7 S S/ �f'9 o a <br /> 5. Surety. Name /�// 14 <br /> Address �tY �ZP <br /> Amount o on : one o. ax o. <br /> 6. Lender. Name A( � � <br /> Address ��Y `� e P <br /> Phone No. ax o. <br /> � 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section <br /> 713.13(1)(a)(7), �ip Statutes: <br /> Name /1/� Address Ciry State <br /> Phone� Fax No. <br /> 8. In addition to himseif or herself, Owner designates /U �� , of <br /> to receive a copy of the Lienor's Notice as providedi'n�Ton�7 '3.13('f�(6� on a tatutes. <br /> Phone No. of person or entity designated by owner. <br /> 9. Expiration date of Notice of Commencement (tha expiration date is 1 year from the date of recording unless a different date is speafied.} <br /> WARNING TO OWNER: ANY PAYMENFS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER <br /> PAYMENTS UNDER CHAPTER 713 PART 1, SEC 713.13, FLORlDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT WtUST BE RECORDED AND POSTED ON THE' JOB SITE BEFORE THE FIRST INSPECTION. 1F YOU INTEND TO OBTAIN FINANCING, <br /> CONSULT W H LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> X' <br /> nature er or ne s u onze cer �rector a er anager ignato s ice <br /> "'"' Signature Requlred by same below by `.1" mark "` <br /> �/ <br /> STATE OF / COUNTY OF $SC O <br /> The foregoing instrument was acknowledged before me this � day of �/CiC . 20 �l . by U�I/�"�Cs .�I g0'� <br /> as <br /> (�L✓/�o,/ for ame o erson <br /> (Type utho�ity e.g., offce, tru , attomey in fact) (Name of party on behaif of who fnsVUment was executed) <br /> � NOTARY PLTBLIC-STA'fE OF FLORIDA <br /> 5ignature o ry � Print, Type or � ,�'ommissio # DD994127 <br /> Personaily Known OR Producad J nti cation �+,,,�,,,.•' Expires: MAY 20 , 2014 <br /> Type of Identification irduced: BoxnEn'rt�u n7ta.��tc s�:�nL>G co,, IDiC. <br /> Verificafion pursuant to Sedion 92.525, Florida Statutes: under penaldes of perjury, I dedare that I have read the foregoing and that the facts stated in it are <br /> tru to the b st knowledge and belief. <br /> X <br /> gna a ra erson �grnng ve <br /> NOC-Pt8.WPD (71//0'n <br /> 9/24/07 tsg <br />
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