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14-15758
Zephyrhills
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2014
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14-15758
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Last modified
8/27/2015 1:58:46 PM
Creation date
8/27/2015 1:58:46 PM
Metadata
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Building Department
Company Name
ZEPHYR RIDGE
Building Department - Doc Type
Permit
Permit #
14-15758
Building Department - Name
JENSEN,TODD & KIMBERLY T &
Address
6130 RIDGEWAY DR
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/�S S£S S�� !� ��cr-<fd�' cr �; j��.f'.f'�/�!i'�,� .�..G S a G1�"�1 , /�fR i✓�c:'0`"7 / �.��`✓' <br /> C.�'� /�j�rJ�''� �'�' G�y�'/�-. 9c L���C ! � � 'O %� 7a "�� G. O % ;�� O/�' %CY Z/ <br /> . ��' ,����-�' <br /> : F ` <br /> NO��CE OF Ca����E�N� I I11ill II�II IIIII IlIII4IIIi IIIII Iflll IIIII Ilill IIIII illl II�I <br /> Permit No. 201�4175981 <br /> Property Identification Na. d '� �'�� ��l -� '-j��� ,° " `� i,'� -J � �g� <br /> TI�UNDERSIGNED hereby gives natice that improvements wi I be made to certain real property,and in accordance with Section <br /> 713.13 of the Florida Statutes,the following infarmation is provid d in the NOTICE OF COMMENCEMENT. <br /> 1. Description of properiy(legal descriP tion:) �.� �- =2-�� / ' ���� " �'a°��' - �% 3 9� <br /> a) Street Address: c'�l'�'c� /��(��'�'G-✓�� <br /> 2. Generat description of improvej�ents � <br /> e'v `G..J � N�/C. � �,."r, . <br /> 3. Uwner Information <br /> a) Name and address: ''�r��� cJ�l✓�'v.J �./,�a s�i�l �',f � �/'�i51 .r2is�i%'/ ��.,� <br /> b) Narne and address of fee simple titleholder(if other than wner} <br /> c) Interest in praperty <br /> 4. Contractor Informatian <br /> a} Nameandaddress: �t'�S�o ��/'�C:�C-a !N �.�:� ��C.+'/r� �'% � iyi//S .�- <br /> b) Telephone No.: �/`3 ~ 7�;1''— S�'"a � �... F�No.(Opt.) <br /> 5. Surety Information <br /> —� <br /> a) Name and address: r' <br /> b) Amount of Bond: Rcp4.:1640159 Rec: 10.00 <br /> c) Telephone Na.: Fax No.{Opt.) DS: 0.00 T T: 0.00 <br /> — 1i105/14 S. Peters, Dpty Clerk <br /> 6. Lender � <br /> a) Name and address: <br /> 7. Identity of person within the State ofPlorida designated by o� er upon whom notices or other documents may be served; <br /> a) Name and adciress: <br /> b) Telephone No.: Fax No.((Jpt.) <br /> 8. In adc3ition to himself,owner designates the following person to receive a capy of the Lienor's Notica as provided in Sectian <br /> '713.13(1)(b),Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: Fax No.{{�t.) <br /> 9. Expiration date of Notice of Commencement(the expiratian ate is one year from the date of recording unless a different date is <br /> specified): <br /> WA�tNING TO()W110TTER: AN�''�AYMENTS MADE BY 7C OWNER.AFTE][i THE EXPIRATION OF xHE NOTICE OF <br /> COMIVIENCEi4�ENT A�RE CUNSIDEREI}IlYYPRCiPEI�PA NTS I�ER+CHAPTE€t fi1.3,PART l,S�CTIUN 713.13, <br /> FLORIDA STATUTES A.ND CAN R�SUd.T IN 4'OUR PA G TWICE FOR IPROVEIV�NTS TO Y4UR P1�OPEItTY.A <br /> NOTICE 4F COMMEIOTCENiENT MUST BE RECQRDEiQ �'1 PQS�'ED QN THE JOB SI'FE BEFORE T�EE FIRST <br /> INSPECTION.IF YOU INTEND TO OBTAIlV FINANCING,CONSULT YOLJgt LENDER OR AN ATTURNEY BEFO� <br /> COMIlqENCING WORK OR RECOItDYNG YOU NOTICE F COMMENCEMEN7C. <br /> STA'1`E OF FLORIDA �r w Notery Public State of Florida �_� <br /> COUNTY OF PASCO ��� Michelle Antle <br /> °S` � My Gommisslors FF 4t061d Si a re OF er or Owner's Authorized t}f6certDireetorlPartnertManager <br /> p�4F{io ExpifeS 04/21/2017 e��� `� <br /> ame <br /> The foregoing instnument was acknowledged before me this,�day o ����� ,20�,by�� <br /> ��� as "� {type of autharity,e.g.offtcer,trustee,attorney in fact)for <br /> ����� ., (narne of p on behaif of w m instrument w execut <br /> Fersonally Known�OR Produced Identificatian� Na Signature <br /> Type af Identi�cation Produced����,����'C��1� N e(print) <br /> Veri�cation pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated <br /> in it are true to the best of my knowlecige and belief. <br /> � <br /> FORMSMOC.rvsd20D7 <br /> , Sip�nve of Natuml Person Signing Above <br /> p �qU q 5 0'PJE1L,Ph D PASCO CLERK & COMP7ROLLEK <br /> 110R BK ���� �PG� ���� <br /> , - <br />
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