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12-12850
Zephyrhills
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2012
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12-12850
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Last modified
2/5/2013 12:33:09 PM
Creation date
2/5/2013 12:33:08 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
12-12850
Building Department - Name
GOFF,CHARLES JERRY & INA
Address
38344 12TH AVE
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� . iiiiiiiiiiiiiiiiiii�iiiiiiiiuiiiiiiiiiiiiiiiiiiiiiiiiiiiiii <br /> 2012032159 <br /> Effective: October l,Zp�1 <br /> 2etum to� Rept:141$347 <br /> DS: 0.00 Rec: 10.00 <br /> 02/28/12 C. IT: 0.00 <br /> NOTICEOFCOb�*m=*,�CE�T Cook, Dp{y Clerk <br /> State af Flori <br /> County of�!\ <br /> `! Permit No. <br /> The undersigned hereb T�Folio No.—_ <br /> Chapter 713,Florida St ites,Uie following information is provided in this Notice of Commence <br /> Y gives notice that improvement wi11 be inade to certain real property, and in accordance,w�th <br /> � De,_scription ofPro�pQ�• ��3 a�• �I ment: <br /> t�j� �.,..� Z„M �• C�SSpp, Ql� <br /> 2• G neral desc—r pdon o impro em l�us �� I � Sy �T`� � <br /> c� - ,��,� � p �3sy a <br /> 3 �wner Information or Lessee information if the^L�e s e�e yontr-a c ted fir�I� � O� ��� i g''�� �2� �i�� � <br /> �' Name and Address: provement <br /> �� �2�rr �� <br /> b• Interest in Properey �� � ,�'- � C <br /> �• Namc/address of fee simple tideholder(ifdifferent from Owner list, e�Ve�e ,��1 ��a'J ��� � <br /> 4 Contractor � <br /> � a' T1ame and Address: <br /> b Phone number; ` = l • <br /> � 5 � � ��y � �-- 33S�-c � <br /> Surety(if app�icable,a copy o fpay��ent botid is atiached): <br /> + <br /> A� N�ne a��d Address: <br /> b' Phone number• <br /> Amountofbond: $ PAULA S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLEF <br /> �--- 02�28�12 11:14am 1 of 1 <br /> 6• Lender QR gK �L+�+� PG <br /> �� 2003 <br /> fl� Nazne and Address: , <br /> b Phone number ' <br /> � Persons within <br /> served as provided b �e State ofFlorida designated b <br /> y Section 713.13{])(a)7,p�orida Statutes: y�`'''ner upon whom nocices or ocher documents may be <br /> a' Name and address: <br /> • b• Phone numbers of designated persons: <br /> H. A. ' _"_-__ <br /> r���ddition[o himself or herself,Owner designates <br /> Statutes, fo receive a copy og�e Lienor's Nofice as provided in Sectio�l,i 6 F�orida <br /> b. � ,� )> <br /> Phone number of person or entity desi��a[ed by owner• <br /> . �_ <br /> 9 Expiration date ofnotice ofconunancement <br /> construction and final p$yment,but wil(be I ear <br /> Y from Uie dete of re ording�unless aadiffee irt date s sp�ecified)��1nP�etion of <br /> wARNING TO O�gR. <br /> ANY PAYA•IEh�TS MqDE BY THE O WNER qF'�ER T <br /> COIvIIv(gNCEMBNT ARE CONSIDEREp IMPROPER Pq �E�I�TION OF TI�E N ECITO OF <br /> FLORIDq STA �ENTS UNDER CHqpTER 7I3,p � <br /> TUTES,ANp C,q��S�T IN YOUR Pq '�T I,SECTION 713 13, <br /> � A NOTICE OF CO �G TW�CE FOR Itv(pRp��NTS TO YOUR PROPERTY <br /> n'I1�IENCEI�NT�ST BE <br /> INSPECTION. IF YOU MTE �CORDED qND ppS�D ON Tf-IE]OB SITE BEFOR.E <br /> ND TO OBTAIIV p1l.�,qNCMG CONSULT WIT[-�ypUR LENDgR OR �E��ST <br /> BEFORB COMNp,NC�G WO <br /> RK OR RECORDIIVG yOUR NOTICE pF CO �ATTORN�y <br /> Under penalties opper�i�n, I declare that I have read the foregoing Notice of Com�nN MeME�NT <br /> tnie to tlie best of my knowledge and belief. d��at the facts stated in it are <br /> � � � <br /> i <br /> J � � <br /> � � �% <br /> �S�BnAhire of O n or Lesse , <br /> Autliorized p � O n �I�ssee's <br /> /Director edM ndger) <br /> STATE Op �p��� Signatory's Tide/Office• <br /> COUNTy OF�— <br /> "is�sL <br /> • The foregoing instrument w � <br /> for �acknowledged before me this�daY of � <br /> �20�bY--�� as <br /> Personally ICnoN,n� Notary P�blic,State of —__ <br /> Type of Identification Produced R Produced Identiiication�_ Printed Nama; �-- <br /> — -------_ <br /> y ion Xpa� I ii <br /> �.an tiwe-aa a�a�a <br />. • Mr c�ir�Eq�t�r�u.ta� <br /> ' cq�ww�s��tmto <br /> � <br />
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