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11-11868
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2011
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11-11868
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Last modified
2/9/2012 1:11:24 PM
Creation date
2/9/2012 1:11:17 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11868
Building Department - Name
PHILLIP,TODD & DAVIS STEPHANIE
Address
5610 6TH ST
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,� � i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii uiii iiiii iiiii iiii iiii <br /> 2011074825 <br /> Rept:1367836 R�e: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 05/16/11 C. Cook Dpf,y Clark <br /> PqULR 5 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER <br /> 05/16/31 03:3 1 of 1 <br /> OR BK g5�'� PG 1454 <br /> NOTICE OF COMII�NCEMENT <br /> Permit No. <br /> Property Identification No. � ( - �� - a. ( -QQ ( � U -� �� <br /> TI� UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with <br /> Section 713.13 of the Florida Statutes, the following information is provided in this NOTIeE OF COMMENCEMENT. <br /> 1.Description of properiy (legal description:) Lof � �C'� � j aU �3( GYlst. SFS (�r ZeQF,� r�,; �� ��'}�-Ql�� <br /> a) Street Address: 4h-+ _ p ��{ <br /> 2.Oeneral description of improvements: <br /> 3.� Information <br /> a) Name and address: +� JG.v, c4. � � �.,,' �� J�, C <br /> b) Name and address of fee sunple titleholder (if other than owner) �'j( �(� 6 S ZC� � �) � <br /> c) Interest in property ��'�.�prC � -� <br /> 4.C�ontractor Information <br /> a) Name and address: �j(�Yl /� <br /> b) Telephone No.: Fax No. (Opt.) <br /> S.Surety Information <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No. (Opt.) <br /> 6.Lender <br /> a) Name and address: <br /> Phone No. � <br /> 7. Identity of person within the State of Florid designated by owner upon whom notices or other documents may be served: <br /> a) Name and address; <br /> b) Telephone No.: Fax No. (Opt.) <br /> 8.In addition to himself, owner designates the foll wing person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b), Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: t- Fax No. (Opt.) <br /> 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is <br /> specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER TAE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CI3APTER 713, PART I, SECTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <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 YOUIt LENpER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK QR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FI,QRID?► <br /> COUNTY OF PASCO � � <br /> S' f Owner or 's Authorized O cer/Diroctor/Parh�edManager <br /> ?'1 C�/� \ �CiY� �G � V I <br /> Print Name <br /> The f�g ��ent as aclaiowledged before me this �(G' day of � 20 ��, by <br /> �� � �� ���� (iype of suthority <br /> in fact) for , e.g. officer, trustee, attomey <br /> (name of party on behalf of instrument was executed). <br /> Personally Known � OR Produced Identification Notary Signature �� <br /> Cype of Identificarion Produced Name (print) u� l�� � <br /> Jerification ursuant to Section ��.� J ���S� # EE �ES <br /> P 9 2. 5 2 5, F l o n d a S t a t u t e s. U n d e r p e n a l ri e s o f p e r j u r y, I d e c l a�� I� v���� ��� <br /> he facts stated in it aze true to the best of my knowledge and belief. � � 12 2014 ' <br /> S IS TO CERTIFY TNAT 800 <br /> R AN CORRECT COPY OF THE DOCUMENT <br /> ORMS/NOC ,rrsdzoo� gn e ofNatur erson Signt� �S Y HAND OFFICIAL SEAL T�H ICE <br /> DAY OF � 2 iS // <br /> PAUL $ O'NEIL, CLERK & OMPTROLLER <br /> BY " � <br /> C�"'� D�PUTY CLERK <br />
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