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14-15636
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14-15636
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Last modified
8/27/2015 9:20:52 AM
Creation date
8/27/2015 9:20:51 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
14-15636
Building Department - Name
HABER,TED
Address
5829 12TH ST
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� <br /> I ' <br /> I{Illll I{II{I{III11�11 illl111111 illl11111111111 f1�1111111111 <br /> 2014144160 <br /> � Ropt.1627$69 Rec: 10.00 <br /> DS: 0.00 I'T: 0.00 <br /> 09/09/14 T�. Sf.ine, Dpty Clerk <br /> ° NOTiCE OF COMME CEMENT PRULR S.0'NElL,Ph.D.PRSG4 GLERK & GOMPTROLLER <br /> ` g9 R��K ���� PGQ{15�� <br /> PemuF No.i <br /> .Praperty Idenrification Mo. 13-2G-21-Q414-03740-D09Q <br /> "1"SE UNDERSTGNED tsoreby give izifamu you Yhat the improveauat wi be made ta certairi raal propetty,aad ia accardanae wr th <br /> `Sectian T 13;t 3 af the Florida StaEUtes,tha follawiug infornsation is provid 'ut this NOTICE OF COMMENCEMENT. � <br /> t.bescription of propercy{legal descriptton:) CI7Y OP ZEPHYRHILLS PH!P 54 LOT 9&lOINCL BLK 3'7 OR 9016 PG 7 7 <br /> 8)StTCCt AdtlfeSS:582912TH STREE"C ZEPHYRiLLS FL 33542 ; <br /> =2.Generai descrigtion of improvements; �MOVH AND REPLACE SHlhGLE ooF • <br /> 3.Owner Iafarmariaa � <br /> a)Vame aud addrOSS: �GIONS BANK C!O RUSH MARgHpLL]ON6S KELLY-Pp BOX 3146,ORLANpp FL 328 2 <br /> b�Name and address af fee simple titleholder(i£other than awn ) <br /> c}Intercst in property• ' <br /> A.Contractor Inforn�adon <br /> a)Name and address: YotvBtL'S ROOFING COMP,2Z20 QLD CYPRE S CREEK RD LOL FL 4 9 <br /> b}TelephoneNo.: 8I3-949-4561 FaxNo,(Opt) Bt3-94E-6102 , <br /> " `S.Surery Information <br /> a}Name and address: <br /> Ib}Amount of Bqnd: • i <br /> e}Tetephone No.: Fan No.(Opt) <br /> �6.Lender . /� - <br /> , a}TVame and adcfress. �-t'!T�S k7� 1 r'Y"l j �- <br /> Phoae Na. ' ,r_.. <br /> -'� idenrity af'penon within the Staie F►orida esignated by owner ago whom aodces ax ot er documen may ba served: <br /> a}Name and address: <br /> b}Ttitghone No.: —• Fax AIa.(pp�) ' i <br /> 8.In addirian[o hiu�solf,ownet dosigaates the follo�ving persoa to rcceiv a copy of the Lienoz's Noace as psovided in Sectibn � � <br /> :713.13{1 j(b),Ftorida 5zatutes: <br /> ' a)Name and address:, <br /> • h)Telephone No.: Fax No.(Opt.) <br /> ' 9.Facpirarian date ofNorice,of Commencement(the expirarion date is o e year from the date of recording uniess a different date is <br /> �sgecified): � <br /> ~WAiRMNG'IQ OWNER; ANY PAYMENTS MADE BY 1'HE Q R AFTER THE EXPIRATION OF THE N4TICE C}F <br /> COIVIMENCEMENT ARE COIVSIDEREU IMPRQFER PAYME UNDER CF3A.pTEIt T23,PART I;BECTl4PI 7!3.13, ` <br /> .�FLORiDA STATUTES,AND CAN RESULT IN YOUR PAYING CE FQR IIl3F'ROVEMENTS TO YQ(3R PRflPERTY. <br /> A NbTiCE OF COMhtENCEME3VT MUST$E RECORUED PCISTED ON THE JOB SITE BEF4RE"FHE FlRST <br /> � INSFECTIQtK. IR XOU INTEND TO QBTAIN F£NANCING,CO SU�'T YOUR LENDER 4R AN ATTORNEY BEPORE <br /> '� 'COMMENCIIYG WORK flit RECORDIlVG YOUR Pt0?'iCE OF OMME2YCEMEI�i'i'. <br /> ! <br /> � STATE 4F�6R�A+ � <br /> � COUl�iTY OF'P�t!lCOr' � Ct'�"E ' ��������• <br /> igna wner'9Aut uriu OffeedDireCWr/ParfierlManag��'Q� M(s�►fs+•� <br /> • <br /> Print ;�Q, � St,� �.�• <br /> � 'ih ore oing instru�n ent was aeImowtedged�f�1'�e me 's� y of�,� ;20��,by +4J' � �p ; <br /> � b�t� as Y�wC.i (type of autharity,e.g.affice tzustce, meY p �.� <br /> in fact for ` (name an behaif of whom instcume t was execu � it?#9',�252 • <br /> ' N07ARY P���-1'� ; <br /> ' �xpirea ; <br /> , Personaity ICno _,_OR Produced Identificatioa^ No Signahue �� �b,4,2817 � ; <br /> . �+�� �� . <br /> . <br /> • ; <br /> ` Type of tdearificatiott Produeed �S*"_,_,�� N c{grint) •.�����Q� •° <br /> « .. �'' <br /> •,sa <br /> . <br /> � Verifcarion pursnant ta Seetioa 92.525,Florida Statutes.Undat pen tics of petjtay,I declare that I have read the foregoing nnd t[�at <br /> �° thc facis s�ated ia it are true to tha bcst of my]moivleilgo and b�lief. - ' „ <br /> n . <br /> ♦ <br /> - Si edm of.N Pars igntng Abpve <br /> ^ FOflLSINOC.rvs4"007 ' : � , <br /> I ; <br />
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