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13-14697
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13-14697
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Last modified
7/28/2014 8:12:34 AM
Creation date
7/28/2014 8:12:34 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
13-14697
Building Department - Name
ROSE,CHAD & JEBB JOSHUA
Address
5427 16TH ST
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F�om: - - <br /> 1O/Zl/2013 �0:51 #406 P.003/003 <br /> ILb spct for or by Cierk d 16t CImW Couet ooly. � )� �� . <br /> K � <br /> ����: <br /> �O�CE OF CO�NCE�NT � �IIIIIIIIIIIIIINIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 7'a Fo1io No. <br /> 'h uodrnlp�ed herebY p�e+oetlee Wt Aepe�eeents wltl 6c o�de m eatab retl ProP�7.�In acoordaees�qh S�etloa 711.13 of Ws �-.O� <br /> ilorfd�S4tMea,tMe fellarlee kofot��tMe h pe�{dcA ie t6c NO7TCE OF C011�1tE]HCEMFIVI'. <br /> .�v�n <br /> 1. t.eg,�naai�pean cf �..� <br /> P�°P�Y(f�addras reqnirod): 5427 16 M st Zeohvrhilts FI -`a 2�tt� �R ew <br /> f m.. <br /> � r\+mUl <br /> W m Of <br /> 2 Genad daaiptioc of impravanaus: Reroofin R1 f�.. <br /> • N <br /> 3 � <br /> 3a. Owner Nane:_�d Rose C <br /> Owner Addrcas SC27 7fith af �..,�. �a � 2 ' 1�C 1� <br /> C •• A <br /> 36. Owper's artant m site:�QpgL �•• A <br /> W m.. <br /> 3c. F«S'anple Tide lalda(of olha than owner)�/A �►+ <br /> Addirua: �O m B <br /> � 4. Coatoowr Name: Brothers R�ofmo! �C m <br /> CCC73ZM79 <br /> ��:-�.0.����2 Tam�e FI 33887 n <br /> Phme: 813-985-6592 .-• <br /> 3. Surety Namr.� �p <br /> Addrea�: AmouM of boad: � <br /> P6onc: <br /> 6. Leada Name: N/w �t <br /> :\ddRts: <br /> Phoue: <br /> 7. Puwn wid�m the Sta�e of Florida deaignated hy owna opon�Wwm noGca or otha docummts may be ccved a <br /> Seesim 773.13(lxa)7,Florida Shtutn. provided bY �„�D <br /> N <br /> Nux: WA ��D <br /> Addraa: <br /> N <br /> Phone Number: ��� <br /> 8. In+dditiam rn hmud�Ow�daignato Nx folloWin � 7�r+o <br /> 713.13(IXE),Fbrida Staw�ea. B Pa+on W raxive s coPY of the Limor'�Notia as provided'vi Sectian /��m <br /> W~� <br /> rt,��:_wa ______ �� <br /> aea�a�: '��w'J� <br /> Feone2J�mba: W ° <br /> �3 � <br /> 9. Fxpurruioo due of Notice of Commeacemm[(etPcation date u one 1 D <br /> spec�ied). � )Y�fioen d�of rece�d'mg imksa a diff�eat dare ic ��o <br /> � r <br /> il'A�NWG i0 pW►VeQ'ANY PAYA47VT31�tADfi 8Y TIiF OR'NER API'YA 7Rfi 6XPIRA7'WN OF iHC NOTICE OF C011�lFNCEI1g]�R UtE O 7m�c <br /> COIVSCDi=�UtpAOtCR PAYII�TPIS UImEQ QIAPTER Aa PART�9TCilON h3.U,FL01tlM STAI � <br /> PwYOVC�VICB FOp 11�YOVP�1m7YIS TO YOUR�RDPCA7V.A NOTICE OF OOA9�JVCTAQ7YT MUSL BE ReCORDF��pLp9iID ON 7H6 I"'1,",0^ <br /> JO�SITC BfiFORH 7H6 fTRSf IN9P0CC7'fON. �'YOU i0087AW/�VANC � <br /> BCFDRTCOIIQtII�ICp�rG{yORt(OR G YOUR Qy� �ti C�uLT Wi77[VOOR L8ND6R OR AN ATiORNEy N 3 <br /> � <br /> 1 <br /> � A <br /> r <br /> Signanve of a Leaseq or Ow�a'a ac 16erized� �� A <br /> _ O�t�Yle,{� <br /> SfATE OF FIARIDq S��ry t TtlldO$ece j <br /> CO[1N'[Y OF HILLSBpROUGH � <br /> The faegoing auvtuoent wn eelTOwledge 6efare me t)m d��d yY o��_'Yn Y1'e✓ :0 �3 I <br /> � .� !'�� 1 n P+1' c� . — <br /> PasonaUy Kmwn OR Produced idmtifin[im�_ i <br /> 1'ype orldemiGn6onPro�c�d PL T� c <br /> �j�*�' Sl�o�G�q 5�t g � �,� <br /> S �- ix <br /> t1 uet of Pc � dee I heve the f md�hat�hc Lct+stated in il ae vue oo thc ben <br /> � Y��'ledge ond 6elief. <br /> 5�8nome of 1 P bove <br /> (��4!�f n►hr/Isrt br r+drA a4�we drsed�3e ddi�Ns'se dCaOee�eo�� <br /> UMr�l7fNOVSef2 <br /> .�„ i <br /> �:,,,• �,k SHEH►illyNN � <br /> .+3 MY COMM►SSION N�pp g� I <br /> EXPIRES:June 1 i 2014 <br /> B°nded Tf""1��yY Pubhc unde�wiffery , <br /> -----— -- --- -- I <br />
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