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11-11811
Zephyrhills
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2011
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11-11811
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Last modified
2/9/2012 9:19:06 AM
Creation date
2/9/2012 9:19:05 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11811
Building Department - Name
SAMPSON,GILBERT & ANNA
Address
5109 9TH ST 38620 2ND AVE
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° IeI�OTICE OF COMIVIENCEMENT <br /> STA"Cli OF FLURIDA �, COUNTY OF �a�� <br /> THE UND�RSIGNeD hereby gives notice that improveinent will be mada to certain real properiy, and in accordance with <br /> Chapter 713, Tlori�a Statues, the following mformation is provided in this Notice of Conunencement: <br /> 1 Description of Pro erly: Parcel No. Z.�o � Z"('b Q— — �j <br /> 'F�1 r� n u Z ►- 3 <br /> et�� �� �,h ���ls Ra l P�- sy �� +�2 � c��s t�� <br /> 6loc(< ao�6 �R rT.a�3 AG- o2qb <br /> 2. Gene ( Descriptiox► of Lnprove`ment: IIIIII�IIIIIIIIIIIIIIIIIII�IIII�IIIIIIIIIINI�IIIII�INIIIII <br /> 2 rDC� �C w C,�`QX 2011062316 <br /> 3. Owner Tuformation: Nam • � � <br /> Addrass: �j V <br /> C��' State !i Zip code <br /> Interest in Pro rty� Qc�,�1�Q1'� <br /> Nama ofFee Sunple Tittleholder: <br /> If other than owner: Address: <br /> C '�' State Zip Code <br /> � Contractor: V\ �p��y ��� ��3 —�'g a <br /> ' Address: 36 13 S.R. 5�} Zephyrl�i� F 41 � <br /> 5,! Surety: Name N/A Repi:1363970 Rsc: 10.00 <br /> I D5: 0.00 IT: 0.00 — <br /> Address 04/26/11 q, Gia�d, <br /> City State. �PlY Clerk <br /> PpULq 5 0'NEIL,Ph � PRSCO CLERK 6 COMPTROLLER <br /> � Amount of Bo�id: $ ' � 04/26/ 11 0 1 oF 1 <br /> j OR BK o q, P� 2336 <br /> G� Lender: Name N/A Phone # <br /> '� Address <br /> � L ��Y State <br /> 'Lip Code <br /> 7� Persons within tlie State of Florida designated by owner upon whom notices or otlier documents may Ue served as <br /> j provided by Section 713.23 (1) (a) (7), Florida Statutes: <br /> � Name �1/A Phone # <br /> � Address <br /> � City <br /> � State Zip Coda <br /> $�'� In addition to himself, Owner designdtes: N/.A <br /> I °f Phone # to receive a copy of tha Lienor's Notice as <br /> provided in section 713.13(1) (b), Florida Statutes. <br /> 4: Expiration date of Notice of Cori�mencement (the expiration data is one (1) year from the date of recording uules� a <br /> i different date is specified.) � <br /> WARNING TO OWNER: ANY PAI�MENTS MADE BY THE OWNER AFT�R THE EXPIRATION OF THE <br /> I�OTICE OF CpMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPT�R 713, � <br /> FART I, SECTION 713.13, FLORIDA STATUTES, ANll CAN RESULT IN YOUR PAYING TWICE FOR <br /> IMPROVE1vIENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND <br /> POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION: IF YOU INTEND TO OBTAIN <br /> FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COlVIMENCING WORK OR <br /> RECORDING YOURNOTICE OF COMMENCEMENT. <br /> Signahire of Owner: � Printed Name--�' Q. <br /> STATE OI' FLQ�� A <br /> COUNTY OF T'aSCJ Q <br /> The foregoing instrument was.aclmowled�ed befora me tliis - day of �Q�: � , 20�, arsonally known <br /> to me or who produced identif l4�,�u�rah�8i�t taka oath (please cn•cle which) <br /> J4nN a Sr w(7So. �,r*r w� Naer Puene s�re or Floriea <br /> Christlan Ryman <br /> Notary Pub '. My Commission Expires: _ '�. ""�' co�,�sswn �o�s,eio <br /> �prea ovzuzoiz <br /> Under penalties of perjury, I declera tliat I have read the foregoing Notice oE,Commencement and d�at tha fnets stated in it are <br /> true to th st of my knowl e�and belief. '' <br /> /\ <br /> (Signature of Owner Signing Abov <br />
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