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14-15605
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14-15605
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Last modified
8/27/2015 7:48:45 AM
Creation date
8/27/2015 7:48:43 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
14-15605
Building Department - Name
TILLMAN,LANCE & MARLENE
Address
38624 5TH AVE
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i i�iiii iiiii siiii iiiii iisii iiiii iiiii iiiii iiiii iiiii�sii i�oi <br /> 2014129000 " <br /> Rcpt:1622313 {tec: 10.00 <br /> Permit Number DS: 0.00 I7: 0.00 <br /> PropertylDNumber , -� �- r ,i,�� � 08/12/14 K. Kraengel , Dpty Clerk- <br /> r�AULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER <br /> � '� �� C'� � � � � ���� �'F�� � 08/12/14 01:07 m 1 of 1 <br /> State of Florida OR BK ���� PG ��4� <br /> County Of ----------- ______ <br /> THE UNDERSIGNED hereby gives nolice that improvements will be ma e to certain real property,and in accordance with Section 713.13 of ihe <br /> Florida Statutes,lhe following information is provided in this NOTICE OF OMMENCEMENT. <br /> 4.Description of property(lega!descriptionJ:GC�/�(U� /�(�1-� � QG- � L67 �h Z..d�(°Z � xZj <br /> a.)Slreet Qoh) Address: � d� n,,,-� �,�� -3 ' �Z <br /> 2.General description of impro�ements: Replacement Window Ins allatian. <br /> 3.Owner lnformation or Le'sse�e'information if the Lessee contrac�d or the' pr�ove ent: �' � � � <br /> a.)Name and address: `CZ'LLu2.o�/ �'r''f 3 C�'4 <br /> ' b.)Name and address of fee simple titleholder(if dif(erent than Owne Iisted.above)____ _ <br />�— c,)(nEe�esfin property: - �Owner f -- � � ` <br /> ' 4.Contractor Information <br /> a.)Name and address: Steven Irwin Rogilllo 59'f0-B Breckenr dge Pkwy Tampa,FL 33610 <br /> b,)Telephone No.: (866)946-3189 Fax No.:(optiona) <br /> 5.Surety(if applicable,a copy of the payment bond is atfached) <br /> a.)Name and address: <br /> b.)Telephone No.: <br /> c.)Amount of eond: S , <br /> 6,Lender <br /> a.)Name and Address <br /> b.)7elephone No.: <br /> 7.Person within fhe State of Florida designated by Owner upon whom otices o�other documenis may be served as provided by Seciion <br /> 713.13(1)(a)7.,Florida Statufes: <br /> a.)Name and adciress: <br /> b.)Telephone No: Fax No.:(oplional <br /> 8.a.in addition to himself,or herself,owner designates oF <br /> to receive a copy of the L'�enor's Nolice as provided in Section 713.13( )(b),Florida'Statutes, <br /> b.}Telephone No.: Fax No.:(optional) <br /> 9.Expiration date of notice of commencement(the expiration date may ot be before the completion of consfruction and final payment to ihe <br /> contractor,but will be 1 year from fhe dafe of recording unless a differe t date!s specifled): <br /> WARNING TO OWNER:ANY PAYM�N7S MADE BY THE OWNER AFTE THE EXPIRATlON OF THE NaTiCE OF COMMENCEMENT ARE <br /> CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SEC710N 743.13,FLORIDA STATUTES AND CAN RESULT(N YOUR <br /> PAYING TW10E FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTIC OF COMMENCEMENT MUSI"8E RECORDED AND POSTED�N <br /> 7HE INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSUL7 OUR LENDER OR AN ATTORNEY SEFORE COMMENCING WORK <br /> OR RECQRDING YOUR NOTICE OF COMMENCEMENT. <br /> Under penalry of perjury,I declare that I have read the foregoing notice of c mmencement and that the facts stated therein are true io the best of <br /> my kno dga and be ef. ` �'�V �v-C-�.� ��t �� �l�-(� <br /> e.�^- <br /> (Signat o(Owner or Lessea,or Owners or Lessee's(Authorized O�cer DireclorlPartner anager) (Prin[Name and Provide Signatorys TillelOKce) <br /> The foreg ing instru-m�ent was acknawledged before me this Z�'1.,'�i day of �Gi���,� �F�!�-� <br /> by �/'�I�GG �1/l�'t tF69 2S (type of authority,e.g.lrustee,attomey in fact) <br /> for ,as <br /> (Name of Person) / \ (type o(aulhority,e.g.lruslee,a�lomey in fact) <br /> for (name o arty�n behaJt of whom instrument was execuled) <br /> Personally Known Q Aroduced ID 0 � ,�/� <br /> Type ot ID • " ��� Notary Signa( e ' "'""��`"`J�j`,�ilL-G� O—�Gt—�— <br /> � <br /> Print Na e /�l�j C(� S;G•.� /�j�G�--v�ql f� _ <br /> *'"''• �+IELISSA ANPI YA('siJE <br /> :�+'•• '"�, <br /> ='' :`= MY COMMISSION#EE201017 <br /> �''r'• EXPIRES May 22.2018 <br /> •.4p,!t <br /> .+ <br /> (407)398�0163 FlaldeNotLrySerwce.com <br /> I <br /> � <br />
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