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13-14535
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13-14535
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Last modified
6/12/2014 9:45:04 AM
Creation date
6/12/2014 9:45:03 AM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
13-14535
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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� �i ii�iiiiii�i iiiii iiia i�iiw�iiiiii�ii iiiiiiiiu iiiuiiii ii�i-���� <br /> 2013158604 <br /> tcpl:1349477 Ree: 10.00 <br /> NOTICE OF COMMENCEMENT �S: 0.00 I T: 0.00 <br /> PermitNo. 19/12/13 C. Miner, Dpty Clerk <br /> Property Identification No. l`-�' Z..Ca.^ �..�' O a -�"A1'SOQ' OOlO <br /> Tf�UNDERSIGNED hereby gives notice that improvements will be mad�to certain reat property,and in accordance with Section <br /> 713.13 of the Florida Statutes,ths fopowing informa�'_�n is provided in the NOTICE OF COMMENCEMENT. <br /> ----------__ <br /> 1. De cript��ofproperty(1 gol descripdon:) <br /> a) Street Address: <br /> 2. Genere]description of improvements �/) � � <br /> 3. Owner Informarion � <br /> a) �Nam2 and address� z+ � � Av�+�/ r�y��� aw( (�7� �i�S (:�rw l�t/i. <br /> b) `Nama and da d of fce simplc titlehotder(if other than owner) <br /> c) Interest in property ,'� <br /> �4. Contractor Information <br /> a) Name and address: �C, = fj� �j�- • r 3 <br /> b) Telephone No.: �jj � � 1�'1_ Fax No (Opt)_�(� (_ Z__/ <br /> 5. Surcty Inforniation . � � -i <br /> a) Namo and address: <br /> b) Amount of Bond: <br /> c) Telephonc No.: Fax No.(Opt.) <br /> 6. Lettder <br /> a) Name and address: <br /> i <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be servtd; <br /> a) Name and address: <br /> b) Telephone No.: Fax No.(Opt.) <br /> 8. In addition to Ivrnself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b),Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: Fax No.(Opt.) <br /> 9. Expiration datt of Not►ce of Comm�ncement(the expiration date is one year from the date of recording unless a different date is <br /> spceified): <br /> WARNING TO OWNER ANY PAYMENTS MADE BY TIiE OWNER AFTER THE EXPIRATION OF THE NOTTCE OF <br /> .. COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHqpTER 713,PART 1,SECTION 713.13, <br /> FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROP$RTY.A <br /> NOTTCE OF COMMENCEMENT MiIST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION.IF YOU IIVTEND TO OBTAIIV FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDIIVG YOU NOTICE OF COMMENCEA'IENT. - <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO (— — - ' — —� <br /> ��rc OF or r's Of6ar/DirecwdPermv/A�mager <br /> �•+� ,e�L k � t�— -� <br /> rrine .nx - <br /> ��fo o' g instrument was acknowledged before me this IJO�dey �� 20��,by <br /> � (type of suthority,e.g.officer, ee,t ey in fact)for <br /> (nsme ofparry on wh instrvme�nt was utcd). <br /> Personally Known_OR Produced Identification_ Notary Si <br /> Type of IdentificaUon Produced Name(print �Q 1'l e�Qi <br /> Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing aad tbat the facts stated <br /> in it are truc to the best of my knowledge and belief. <br /> Fowasn�oc.,..� <br /> Si�unoe o/N�eW pa�sun Sipdro A6ovs <br /> ��"W�, NaarY PuWie Sbt�W Fbrida <br /> Y� T8ldi BfUCe <br /> MY Commlabn EE0711ZP <br /> �a�� �o�.oyo�no�s -- - - - --- ---- <br /> �RULA S 0'NEIL,Ph D PRSCO CLERK 6 COMPTROLLER <br /> �J9/12/13 2:0 m 1 of 1 <br /> OR BK �C,�1 PG ��2 <br />
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