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11-11816
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2011
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11-11816
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Last modified
2/9/2012 9:22:05 AM
Creation date
2/9/2012 9:22:03 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
11-11816
Building Department - Name
ADKINS 301 PET HOSPITAL LLC
Address
5829 GALL BLVD
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• THIS INSTRUMENT PREPARED BY I IIIIII IIIII IIIII IIIiI l!�II IIIII IIIII IIIII IIIII IIIII IIII IIII <br /> � Name: Jasper Bowling 2@'_1058530 <br /> Add ress: P.O. Box 1203 <br /> Geneva, FL_32732-1203 <br /> State of Florida <br /> RcQt.1362758 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> NOTICE OF COMMENCEMENT 04/18/11 R. Cervantes D Clerk <br /> PermitNumber ParcellDNumber(PID) 11-26-21-0010-01200-0230 <br /> The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, <br /> Florida Stadites, the fdbwing i�fortnation is provided in this Notice of Commencement. <br /> DESCRIPTION OF PROPERTY (Legal descriptio� of the property and sVeet address 'rf available) <br /> 5829 GALL BLVD., ZEPHYRHILLS CITY OF PB 1 PG 54 LOTS 23 & 24 BLOCK 12 & <br /> FART OF W1/2 O ALLEY AS PER OR 3086 PG 871 <br /> GENERAL DESCRIPTION OF IMPROVEMENT RE-ROOF <br /> m ti <br /> A D <br /> Q\f'" <br /> ��.a D <br /> OWNER INFORMATION W � cn <br /> Name and address: Adkins 301 Pet Hospital LLC �� z <br /> m <br /> _ 206 Tranauilitv Cv altamonte Sprinas FL 32701-4703 �N � <br /> Name and address of Fee Simple Title Holder (if other than owner) �N � <br /> �w v <br /> — � 3 � <br /> D <br /> N <br /> CONTRACTOR � <br /> � <br /> Name and address: Jasper Bowling, All-Tite Roofing, Inc. P.O. Box 1203, Geneva, FL � p m <br /> � � � <br /> � <br /> Peraons w�thm the State of Florida Desi nated b Owner u ~� <br /> g y pon whom notice or other documents may bs served as provided � <br /> by Sechon 713.13(1xb), Florida Statutes. o <br /> Name and address: �"� � <br /> � � <br /> � <br /> 0 <br /> r <br /> In addition to himself, Owner Designates o f � <br /> m <br /> To receive a copy of the Lienor's Notice as Provided in � <br /> Sectlon 713.13(7)(b), Florida Statutes. <br /> Expiration Date of Notice of Commencement: <br /> The expiraUon date is 1 year irom date of reeording unless a different date is specified. <br /> WARN/NG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY. A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDEO AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WffH YOUR LENDER OR AN ATTORNEY <br /> BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF Florida COUNTY OF Pasco <br /> ��'+ �R� Larrv Adkins <br /> OWNERS SIGNATURE OWNERS PRINTED NAME <br /> "(NOTE: Per Florida Statute 713.13(7 )(g), owner must sign...... and no one else may be pertnitted to sign in his or her stead." <br /> The foregoing instrument was acknowledged before me this � day of April , 201_ 1 <br /> by Larrv Adkins . Who is personally known to me� <br /> Name of person making statement <br /> OR who has produced identification ❑ type of identification produced <br /> VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. <br /> UNDER PENALTIES OF PERJURY, 1 DECLARE THAT 1 HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT <br /> ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. <br /> SIGNATURE OF NATURAL p� SIGNING ABOVE <br /> ,�`�;`: ;;'"�� BETIY SCHULTZ <br /> * ��� * tyJY�MMiSSfON # DD 17W54 <br /> � ES: July 20, 20t2 <br /> `''��� F �oe� O° Bonded Thru Budpet Noiary Senicea �ry '� �p � _ k �,L� <br /> [ <br />
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