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11-11905
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11-11905
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Last modified
3/30/2012 9:00:56 AM
Creation date
3/30/2012 9:00:55 AM
Metadata
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Building Department
Company Name
THE COUNTRY KITCHEN ON 301
Building Department - Doc Type
Permit
Permit #
11-11905
Building Department - Name
THE COUNTRY KITCHEN ON 301
Address
5327 GALL BLVD
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NOTICE OF COMMENCEMENT <br /> Permit No. � � q C75 <br /> Property Identification No. <br /> TI-IE iJNDERSIGNED 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 NOTICE OF COMMENCEMENT. <br /> 1.Description of property (legal description:) �, `'� c�-� � a�� d � ��-� � 3� 0 � r' Q 0� Q <br /> a) Street Address: � 3 a� G o,. v <br /> 2.Cieneral description of improvements: _,�r � 1c. rr ���.. � 3 t e L{ fl�� /�, w��l <br /> �. <br /> 3.Owner Information V YY� n <br /> a) Name and address: \`1�. c.�no.�c� �5 l-, � 01 S�� \ V� (`�C�, �.S Qr 2 i ��,-�„" � is ,�'L <br /> b) Name and address of fee simple titleholder (if other than owner) � <br /> c) Interest in property p �,.r, ���.s;�.,,,,� <br /> 4.Contractor Informarion � � � <br /> a) Name and address: <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 Nam and address: ��'rs �' N akb ro� ���- � � o <br /> �� 31 � V S D � a `�,,� Phone Na o -�o� l— � 1 � <br /> 7. Identity of person within the S te of Florida designated by owner upon whom norices or other doc ents may be served: <br /> a) Name and address: ' -1-'� �t t J� �� l���+� crf r 0 C, l.c t ^ <br /> b) Telephone No.: � 1�- 3 5 S-1 t lo � Fax No. (Opt.) <br /> 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b), Florida Statutes: n <br /> a) Name and address: ���- S�, \.c s �� �Z �+��('� ��4. �tS VJ� <br /> b) Telephone No.: �_�c��, �-�v� Fax No. (Opt.) <br /> 9.Expiration date of Notice of ommencement (the expiration date is one year from the date of recording unless a different date is <br /> specified): <br /> WARIVING 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 PAYI�IG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND P TED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSUL OUR NDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK pR RECORDING YOUR NOTICE OF COMME <br /> STATE OF FLORIDA r' <br /> COUNTY OF PASCO � <br /> Si of Owner or O er's Author cedDiroctar/PaztnedManager <br /> ; c�lnor � �+i�ts � r- <br /> Print Name <br /> The foregoing instrument was aclrnowledged before me this Z.S�"` day of �^ 0. 20�� by K;r.��a� <br /> ' S r _� as d (type of authority, e.g. officer, trustee, attorney <br /> in fact) for _� C�_ l� n. (name of on behalf of wh strument w ecuted). <br /> Personally Known OR Produced Identification � Notary S ature <br /> Type of Identification Produced � a�r� �a.�S � rC�nS� Name (print) � r�, <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalries of perjury, I d lare at I have read the foregoing and that <br /> the facts stated in it are true to the best of my knowledge and belief. r <br /> : <br /> Signature ofNauual Person Signing Abo <br /> FORMS/NOC,rvsd2007 ��� <br /> �4N:�?����.� OfIG1lfIW�VIIM� <br /> :i�,� �: <br /> :,; .: MY COMMISSION # EE 0233� <br /> ;s�., :a: EXPIRES: September 2, 2014 <br /> ".;s oF ��d; � Bonded Thru Notary Public UnderNrtiters <br />
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