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11-12031
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2011
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11-12031
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Last modified
4/2/2012 1:22:28 PM
Creation date
4/2/2012 1:22:26 PM
Metadata
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Building Department
Building Department - Doc Type
Permit
Permit #
11-12031
Building Department - Name
VOORHIES,GERTRUDE
Address
5107 1ST ST
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Jun 03 11 Q2:12p Michael John Enterprises I II�{{I IIIII II�II �IIII IIII� IIIII `IIII I�I(I IIIII IIIII III) IIII <br /> II 1 I I <br /> , ; t �. 2031094678 <br /> � ' Rcpt:1373988 Ree: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 06/20/11 A. Giard, Dpty Clerk <br /> PfiULq S 0'NEIL,Ph D PASCO CLERK g COMPTROLLER <br /> '060 0 BK 1 85 5 b P 3 P � o 3595 <br /> ti��aF ���� <br /> Paratit No. <br /> ��,��„�._ 1 n�- 2 � - �1���1..Q" I�800 - Q45� <br /> . TF#E uivoEASTGVEa kasby �ives notix Thac �s�ovearcncc.aiN be +n.ae m catain �d pr�p�y, a+e;n aeeoiaance waA sauon <br /> 713.33 af die Ft�ida Swtutea �be folloafiag a�'��� � p� �� p�� � COD�iCEMBN7'. <br /> t. �« wa�►�:� — -� rh; ! (s �'o � fa.�s' <br /> .) sUnetwdar�s: T.. <br /> 2. Geaawl daaipoa� otemproyprxmx I <br /> 3. Owner Lofiumatioc , <br /> a) Neme and adde� � � � , � 3sy2 <br /> b) l�w�s ead addm� ofLae ' tiUshokla (ifa6ar dun mut� <br /> c) Iotemrt ia P►c�tY <br /> Cot+btietor intbmia0on <br /> o�x�ma�.: �[� o o b �, tc t�jl <br /> b) Telephone Na: - U 12 v Fax Na (Opt) 3 G 2 O _� <br /> 5. Smery i�sm�doa I --..—•�. <br /> a) Name aod �mk:�J1A <br /> b) A�w�t of Bond: <br /> 6. [.ender � ���I�o.: PaxNo. (OP�) <br /> a) Nime and addeeay- <br /> 7. Ldentity of pctwn whhin the Sute oPFlorid� da' ted PUone Na – –' <br /> � b�' ownar ypon �vhoa� eotioes or oArer �ciurrcnts aay bc Raved: <br /> a) Namo amd edt�m: <br /> b)'Ce]t,pbone Na: Fa Na (Opc.} <br /> s. tn aaa�eo� oo �� awpe� aes��ea u+e taioarinY pe�ea+ m reeeve a aopy ord�o t;eno�•� atodee,�s �o�a�a � s�ma� <br /> �,a.,3(j) ro�, Fiaoida s4n�+s: <br /> a) Nutue ani ad�c: <br /> b) Tde�ha�e l�lo.: ' Fax No, (Qp�,1 <br /> 9- Btpiratioo date ofNotioe cdCaamx�eat(qu m;P�� Jau is aae yoar fivm tlte defe of r <br /> Speafied}: . ��46 yolnu a diUamaR data is <br /> WARNIIYG TO OWNEA: I��TY PAYl1II�,rf1'8 MAD� �Y?� OWNEit AFtIIt'!ffi �A1TO�P O!"[� PQOTICE OF <br /> PLORfQA 9TA7'U7'�.4 AND C� �T�M AYIN(► TWI � iM}ItpVSM F��f'ig'M YOt)R PA01�6RTY. <br /> A NO'nCL dF CQllID�NC�btFd�i[' MUS? H81lQOOAD�D AND PO�&Y'F.Q ON'1'� t0$ SIi'E BBFQBE TA� FI1t9! <br /> 1�'FC7'ION. IF YOil !N'/'�1VD TO OB!'A1N FINANCtNG� COT�'SUi,T YpUR I.�1ITDER pK Ap ATTpRN$Y 6ZkpRE <br /> COMhlE1rCIIVG R'OAK OI[ YtFrCORDIIVG YOiDe PIOTlC£ OF C3Q]III1�QiC�!'. n <br /> 9!'ATL OP P1.i1RBM , /��y�� = � <br /> COIJPlTYOIrtJ�7iC0 • � V <br /> Si a( ar � ' d <br /> Mne H�nr O <br /> T�� sBa�a� jn`gun"" was adcrmvlo�ge�i 6�6ore mn ►nis � day of Tvl7 r , 20 <br /> OffY /f 1 m _�JL✓r1.2Y � � �' �e <br /> in laecy Far (name of ftYP� of anrLoruy, e,d offiar, tr�x� a�ra+a�Y <br /> imy on behrlf of ins �y <br /> P uecmapyKnawn_`OAArodoixdldattifiwdon� Nowygp�raeor,e <br /> '�paofidee8tidtioe►prodaced,��{a�•s �.�Ife NametP�m?__ / �Op�P`��WL/ � ~' <br /> YeriAra�on axuwwit to 3saian 92523. Fbridr �. Under penehiee of ppJ�ry� F dxlm thst i heve read the Aoragoiqg and qmt <br /> tbe Sofa ota�d in it ma trae to C6e bat ot mY I�owled,te aad bdid Q � , � , � <br /> �llSrl.���O'`-� �L7�Z?'' <br /> rop�ppS� 61�mme of M�e�dlawe stp��lbo.e <br /> �v� °k.. Notary Public State of Fbrida �`�' ��"� <br /> � `f; Robert J Couch v�r � No�a^v �, nlic State of Florida <br /> � My Commission DD743998 � � Rou� �u� <br /> � Expires 12/25/2011 +�� �'. .. ;s UD743998 <br /> ��o� tio` 2S,.:U11 <br />
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