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11-12052
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11-12052
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Last modified
4/2/2012 1:52:33 PM
Creation date
4/2/2012 1:52:31 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-12052
Building Department - Name
VANDEBERG,TODD & CHARLA
Address
5138 21ST ST
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, . -- - , <br /> I II�III IIIII IIIII IIIII IIIII IIIII (IIII IIIII IIIII IIIII IIII IIII <br /> , 2011093760 � <br /> Rcpt:1373576 Ree: 10.00 � <br /> D5: 0.00 IT: 0.00 <br /> ' 06/17/11 A. Giard, Dply Clerk <br /> NOTICE OFCOMMENCEMENT 'PAULFl 5.0'NEIL,Ph D PfiSCO CLERK & COMPTROLLER <br /> MRt#4335 06/17/il 11:25aM 1 of 1 <br /> Permit No. . OR BK 8563 P � �21 <br /> Tax Folio No. 12-26-21-0OOo-04400-0060 -- - - <br /> 7HE UNOERSIGNED hereby gives notice that improvements will ba made to oertain real property, and in axordance with <br /> Section 713.13 of the Florida Statubes, the following i�rfama�on is provided in this NOTICE OF COMMENCEMENT. � <br /> 1'.DBSC�pilOfl Of P!'OpBify {I@g8/ deSC/iptlOR�: COM AT NW COR OF BLOCK 2 OF PlNECREST SUB PB 5 PCi 55 7H 30UTH <br /> 367.70 FT FOR POB TH EAST 135 FT TH SOUTH l00 FT TH <br /> 5138 21 � STREET, ZEPHYRHILLS, FL 33542-5228 <br /> 2.General descripGon of improvemenb: ROOFIHG <br /> 3.Owner Information <br /> a)Name and address: VANDE BERG TODD H 6 CHARLA W, 5138 21 5T, ZEPHYRHILLS, FL 335425228 <br /> b)Name and address of fee simple tiUe holder (if other then owner): N/A <br /> c)Interest in proparty: OWNER <br /> . ontractor Information <br /> a)Name and address: MILBAR ROOFING INC 15911 U S HWY 301 QADE CfTY. FL 33523 <br /> b)TelephoneNo.: 352l567-6047 Fsx No.(Opt.) <br /> S.Surefy Inforrnation • <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. IdanYity of person within the State of Florida designated by owner upon whom notices or other documents may be served: <br /> a) IVame and address: <br /> b) Telephone No.: Fax No: {Opt) <br /> B.In addition to liunself, own� designetes the following person to receive a copy of the Lienor's Notice as provided in <br /> Sectio� T13.13(1)(b), Flarida Statutes: <br /> a) Name and address: <br /> , b) Telephone No.: Fax No. (Opt.) <br /> 9.Expiratton date of Notice of Commencement (the expiration date is bne year from fhe date of recording unless a. <br /> differerrt date is specified): , <br /> WARPIING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF 7HE N0710E OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UidDER CHAPTER 713, PART I, SECTION 713.13, <br /> FLORIDA STATUTES, AIVD CAN RESULT 1N YOUR PAYING TW ICE FOR IMPROVEMENTS TO YOUR PROPERTY. A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED �N THE JOB SITE BEFORE THE F1RST . <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCINC�, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COM CEMENT. <br /> STA7E OF F DA • <br /> couKrroF SC� 10. <br /> n of Ownar or r's Autho d OtficerlDlrector/PaMerlManapor <br /> �bb I�. � u/l • �.,�C/''r -r1 <br /> �tM Name and TIUe <br /> Th� regping instrum nt was acknowiedged before me this r() day of �I.t,n�2 . 20 L l, by <br /> 1 oG(dl tt� de C�q as (), uwac (type of thority, e.g. oNtcer, Vustee, attomey in fact) <br /> tor���� F (name of party on behalf of whom n ment wa ex ). <br /> Personally Know OR Praduced Identirf�cetion_Notary Signature <br /> Type of ldenbfr tlon Produced Name(prirrt) �--� �"" <br /> _— ANp -- <br /> Verificadon pursuar�t to Section 92.525, Florids Statutes. Under penalties of perju re at i have read the foregoing <br /> and that fhe facts stated in it aro true to the best of my knowledge and belief. . <br /> �".�[c � JACQUELlNE BO(iES Sipnaluie of Na4ual Pe s�gn u . <br /> Foa�+x.M .: . w Car�nission # EE 040520 - • +� -� , - <br /> ��,�� Expires December 12, 4014 <br /> '� �� BadeOThuTroyNi1Mlidnoil�7010 <br /> ' I <br /> � <br />
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