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11-12297
Zephyrhills
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2011
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11-12297
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Last modified
5/14/2012 10:20:48 AM
Creation date
5/14/2012 10:20:45 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-12297
Building Department - Name
KREMPLEWSKI,MAE
Address
39232 8TH AVE
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s�H l IIIIIIIIIIIIIIIIIIIIiINlllllilllllllllllllllllllliliillllll \ - <br /> . . �- 2011128799 �� <br /> . , - <br /> . � NnTICE OF CONriVIEN�CE\�IENT -- - - - -- - - - - , <br /> ' � Rept:1384005 Rse: 10.00 <br /> ::��' DS : 0. 00 IT : 0. 00 <br /> �"�' pec�utNa, 08/18/11 C. Cook Dpf.y Clerk <br /> T3JC FO�10 NO. � ✓ <br /> THE Wi DERSIG�TED hereby gives notice that improvements•wiIl be made to certain rea] property, and in accordancz with Section <br /> i 13 13 of the Florida Statutes, the follotving inforcnation is pro�•ided in this NOTICE OF COl-I1�IE10E:l�iE\Z' <br /> 1 Descnption ofproperty {le�al descri rion Q� ��1 Y�S 3'� <br /> a) StreeC (job) Address: 2 '"' � <br /> 2.General descnptyan of im ovementis• <br /> , �ze: �%��D <br /> 3.Owner Information l/� • :�,) � �`�'�'1 �. , 7��2,�►��� �L 33�2"le <br /> a) Name and address� _y�«d� <br /> b) Name and address of fee simp(e t�tl holder {ir other than otk�ner) I <br /> c) Interest'in property ��'� <br /> �.Contractor Information (�� `� ( 33�.(0 <br /> a) Name and address: �� �� � `�'� ��'`�"" <br /> b) Tcicphone No.. ._ ' `�r Fa.Y No. (Orc.) "72 — — <br /> S.Surety InformatiQn <br /> a) Name and address: _ -- - coMpTRO��ER — <br /> bj Amount of Bond: 1 of l <br /> pRUI.Q 5 0'NEIL,Ph D PASCO GLERK <br /> c) Telephone No_: Fa "� 08/18/ 1 ' 4 a �� 91 - <br /> 6.Lender OR gK ���� <br /> a) Name and address: � <br /> Phone No. <br /> 7. Identity of person within the State of Flonda designa�ed by owner upon whom notices or other documents may be served: <br /> a) Name and address: <br /> b) Te3ephone No.: ' Fax �Io. (Opt.) <br /> 8.In addition to himself, owner des�gnates the follo�ving person to receive a copy of the Lienor's Notice as pro�zded in Section <br /> I 713 13(1)(b), Florida Statutes: � , <br /> a) Name and address: <br /> b) Telephone No._ :- ' Fax No (Qpt.) <br /> 9.E:cpiration date of Notice of Cornmencement (the espiration date is one year from the date oF recording unless a differeni date <br /> is specified): ' <br /> I <br /> �ti'ARVING TO O�VNER: ANY PAYMENTS b1ADE BY THE OVVNER AFTER THE �YPIRATIOi�' OF TFIE NOTICE OF <br /> COhI��IE�iCENIENT ARE CONSIDER�D IlVIPR�PER PAY'!-IENTS UNDER CHAPTER 713, PA.RT L SECTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT I� YOL'R PAYING TWICE FOR Il�i IPR�VEl�IE1'TS TO YOUR PROPERTY. <br /> A\ OTICE OF CONIi�IENCEMENT A'IUST BE RECORD <br /> ED AND POSTED ON TIiE JOB STTE�SEFORE THE FIRST <br /> L•� SPECTIO`i. IF YOU INTEND TO OBTAL�i FIN.��i C I N G, C O N S U L T Y O U R L E N D E R O R � Y A T T O R N E Y B E F O R E <br /> CO?�IME�iCING WORK OR RECORDING YOUR NOTICE OP COiI�lNIENCEI�iENT. <br /> � <br /> ST:1TE OF FLORtDA �I��C��i /� ) NyIO/YJ?/� <br /> Signam e o Ownar or �vner's A thorize fsicerlDiracce:rParcner/lvlanager <br /> �� Q.. � /� � C �..� S � � <br /> Prin[ ; iacne _ <br /> � The foregoing instrument was aclmowledged beforz me this � day of 20�, b}' <br /> I Gr _ � <br /> � (type of authorit�-, e.g. o�cer, trustee, <br /> attorney in fact) for � Y ` - ` (name of party on alf of ti��hom instrumen as ese t� dl. <br /> r <br /> Personally Known OR Produccd Identification V Notary Si�1 <br /> ' { j�— s�c7 r�� v ti►T` P �'B Not Pub�iq State ot F1 <br /> Ty�e of Identification Produced 1� Name (print) .' <br /> �s�=---�:� �:.. <br /> C 4 4�.t. <br /> ?r`="`"% L �' -� ;,� � '_� A K `My Cammiysi0� DD888023 <br /> . .�•��.:�_:.: v <br /> ti'enficat�on pursuant to Section 92.525, Florida Stacutes. Under penalties of p�t� �ecl�i`@'������ the for oing and that <br /> the facts statcd in it are true to the best of my ]mowledge and b ief. <br /> I FORJISVOC.rvad:Oa7 <br /> Si a re of amra] Person igni (in line 10.) Above <br />
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