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13-14785
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13-14785
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Last modified
7/28/2014 10:13:44 AM
Creation date
7/28/2014 10:13:43 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
13-14785
Building Department - Name
WESOLOWSKI,ROSE ELLEN
Address
5931 FOREST LN
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AFTER�C�RD,�G-�T�N TO , I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII <br /> 2013204927 <br /> �-: r- - --�-- -- -- - <br /> Rcpl:1367127 Rec: 10.00 <br /> ' DS: 0.00 IT: 0.00 <br /> 12/0'3/13 B. MeBee, Dply Cl��k <br /> PERMIT NUMBER: PRULR S 0 NEIL,Ph D Pp5C0 CLERK L COMPTROLLEN <br /> NOTICE OF COMMENCEMENT lZ RSBK �9�a6 1PGo 1271 <br /> The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713, <br /> Florida Statutes,the following information is provided in this Notice of Commencement. <br /> 1. DESCRIPTION OF PROPERTY L.e descri tion of the ro 70-26-21-0110-D0000-0060 <br /> ( g� p p perty&street address,if available)TAX FOL�O n0.: <br /> SUBDIVISION Forest Villas Unrec gLOCK Tw.rr �oT 6 BLDC u�vrr <br /> PB/PG 12/4 Neighborhood 202009.00 Bon Air Area <br /> 2.GENERAL DESCR[PTION OF IMPROVEMENT: <br /> Tear off existing roofing system and replace with GAF Timbe�line HD roofin system <br /> 3. OWNER[NFORMA7'ION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: <br /> e.Neme e�a eaa�ess: Rose Ellen Wesolowski 5931 Forest Ave.Zephyrhills, FL 33542 <br /> b.�nterest in properry FEE SIMPLE <br /> c.Name and address of fee simple titleholder(if diPferent from Owner listed above): <br /> . a.coNrxacroa•sNnMe: Neumann Roofing, LLC <br /> , co�o-a�eor'saadress: 30427 COMMERCE DR, SAN ANTONIO� FL 33576 b.pno�en�mbe�� 813-782-9080 <br /> 3. SURETV(ifapplicable,e copy ofthe payment bond is ettached): <br /> a.Name and address:. <br /> b.PFane numbv c.Amount of bond:S <br /> 6.a.LENDER�SNAME: <br /> Lender's addfess: b.Phone number: <br /> 7 Persons within the State of Florida designated by Owner upon whom notices or oth�documents may be served as provided by <br /> Section 713.13(I)(a)7.,Florida Statutes: ��"w �V Y <br /> uyZ�? � <br /> a.Name and address: ���� �� � W <br /> b.Phone numbers ofdesigneted persons: �?��F�— `J J } <br /> ��Cj�._.i N d F— <br /> 8.a.In addition to himself or herself,Owner designates �g ��W z� Q � <br /> to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> _ � O <br /> b.Phone number of person or entiry designeted by Owner: ��F— � Q O <br /> w � �v <br /> 9. Expiration date of notice of commencement(the expiration date may not be before the wmpletion oFconstruction and final j��O� J� <br /> payment to the contractor,but will be 1 year from the date of recording unless a different date is specified): ,20 O� CL W <br /> UQO �� t�� <br /> �NQ�IG TO OWNER• ANY PAYMENTS MADE BY THE O R FT R F�rnrRprr N OF THE NOTICE OF OWAdEN EI�NT = V U <br /> CON ID FD QviPROP R PAVn,tFU'r'c i R�mFD�}{qpTER 713 PART 1 E ION 713 1 F �R ma�rp rrFS AND CAN Q~ ►— � Q � <br /> RESULT IN YOUR PAYING TWICE FOR QvIPROVEMFN'C TO YO 1R PR(IPFRTV e NOTICE OF COMMEN EWIENT ST B �u��p � U <br /> R�CORDED AND POSTED ON THE JOB crrg gEFORE THE FiR T AI PE ION �'YO i MTr�.m Tn OBTAIN FINANCING CON n T ��� a Q O ,_j <br /> WTI'H YOUR LENDER OR AN ATTORNFY RFFORE COMMEN IN WO K OR RECORDIN YO 1R NOTI .F OF CO NCEMENT. ,J�O L� = Q W <br /> Under penalry of perjury,I declare that 1 have read the foregoing notice of commencement and that the facts stated therein are true to I.i Q�cr� �p <br /> the best of my knowledge and belief. �� Z p � � <br /> �.e��-�J��� 12 c��e �C, �w� o r�r Q� `� �z� � <br /> � a- <br /> (Signature of Owner or I,essee,or Owoer's or Lessee's �Print IYame and Provide Signatory's Title/OfSce) fry���� Q } <br /> Authorized OfficerlDirector/Partner/Manager) a m <br /> State of FLORIDA G`,�GU1T . * * <br /> County of PasCO �• <br /> � � . � <br /> The foregoing instrument was aclmowledged before me this�_day of �v 20 ,� '� . �,cy'.�' .� <br /> by lc.o`x ��Lc� W�-s o��W 5� 8s ov�r� � • �`� `�� oec <br /> (name of person) (rype of authoriry,...e.g.officer,trustee,attomey in fac �� q��� '� <br /> for r tir 1 ' � <br /> (name of party on behalf of whom instrument was executed) �� . .¢�O <br /> Personally Known or Produced Identification� Type of Identification Produced F�o��a w _()L W�,Y�7�� r7� ' „��.' <br /> ��v°�"4�;` ERNEST 9RYAN GFiEGORY <br /> '�} � �"" ! � � -''� <br /> !' " MYCOMMISSiONkFF028819 <br /> ti��19l���.j <br /> raM1d• EXPIRES June 17 2017 (Signature ary Public) <br /> iaon 3$e-ms� Fionewa�sa�woe.�om (Print,Type,or Stamp Co is oned Name of ot blic) <br /> Rev.fO-0I-I l(S.Recording) <br />
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