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11-12034
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2011
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11-12034
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Last modified
4/2/2012 1:24:59 PM
Creation date
4/2/2012 1:24:55 PM
Metadata
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Template:
Building Department
Company Name
CHURCH OF CHRIST
Building Department - Doc Type
Permit
Permit #
11-12034
Building Department - Name
CHURCH OF CHRIST
Address
5444 4TH ST
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� i iiiiii iiiii iii�i ui�i ii�ii �iiii iiiii iiiii iiiii iiiii iiii iiii <br /> 2011089762 <br /> • Rcpt:1372368 Ree: 10.00 <br /> D5: 0.00 IT: 0.00 <br /> 06/10/11 A. Giard, Dpty Clerk <br /> PqULA S 0'NEIL Ph D PqSCO CLERK & COMPTRC�LER <br /> 06/10/11 01:50 m 1 of 1 <br /> OR BK �5�� p� 1J1� <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. 11- �. �-- � I- 041 �- _ � 63� �- � �� c <br /> THE 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 NOTIeE OF COMMENCEMENT. <br /> S��'fi.. v <br /> 1.Description ofproperiy (legal description:) _�1 fi , 7'�w�h; p• absnu_Th,RAu� � I Grs't �� �� c��.�,�?� F{. zH-�'�Bi P°�s��,� <br /> a) Street Address: 59 �f `{ #f.ti 5�t� �� (� hy k.N i 1!s r- f. 3�� 4a - 3� � a T° �`' �' <br /> 2.C3eneral description of improvements: a� 'K 3�' qdd ��QN ?a �x �1'i .n� a CS(de <br /> 3.Owner Information 1 r <br /> a) Name and address: � ►' `t1.U' C �i �� c h Y'." 5 7`' Sh� yr r' �� �, S�, Z� ��, �,, }, � 1(�� ,�'L 3 35 5�./ <br /> b) Name and address of fee sunple trtleholder (if other than owner) <br /> c) Interest in property <br /> 4.Contractor Informarion <br /> a) Name and address: ���Y H i Ifi� ni c.,�,vSf"R�7` i�.� � uc . 3�''f ��y �- �rt� i s �(1p v (Zc) , Z- H i � S5 3 3 �`�° <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: / V(O/�/E <br /> Phone No. <br /> ity of person within the State of Florida designated b� owner upon whom notices or other documents may be served: <br /> a) Name and address: �o ��'jV N � 1�"" u o��'i � 2 �'1' �S .� 1 IP .0 R � ?�- F-1 � 11 C=1 , 33��' <br /> b) Telephon� No.: 1 �_ �� � o S Fax No. (Opt.) <br /> 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Norice 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 CHAPTER 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 YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK QR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Signature of Owner or wnePs Authoriud OfficedDirectodPazinedManager <br /> C� f� �4'/b'P��O /�1t}�TZif� <br /> Prmt Name <br /> The regoing inshvment was acknowledged before me this � day of �GLJ1 e . 20 !/, by <br /> �q-rn �-�{ Nta� �'1 as e of authori <br /> ty, e.g. officer, trustee, attorney <br /> in fact) for ( n a m e o f p a r t y o n b e h a l f w h i n s t r u m e n t w a s e u t e d). <br /> Personally Known OR Produced Identification � Notary Signature "� � s� �Q <br /> �iCt�� <br /> Type of Identification Produced �,;�CC+1SR.. Name (print) �Ja C u� [1/� J� ' <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that <br /> the facts stated in it aze true to the best of my knowledge and belief. <br /> : `:'�>�: �,,.- ,., �%�L� <br /> '� ;�x::;. •. �� , � <br /> c •r." : ,:/aCQUELINE BOGES ll�1 Lli` '�--- <br /> � kAb _t" �= ���mmission # EE 04p6yp ignature ofNatural Person Signing Abovc <br /> FORMSlNOC ,ry:�azoo� ,; ; � Cxpires Depgm[� 12 � <br /> S • , ianCed <br /> ....._.n•<_:..s,:_: �Tf01'Fi^h�e�fr701B <br />
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