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14-15821
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14-15821
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Last modified
11/9/2015 9:43:59 AM
Creation date
11/9/2015 9:43:58 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
14-15821
Building Department - Name
CUMMINS,LORETTA
Address
38046 10TH AVE
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i iiiiii iiiii iiiii iiiii oiiii iiiii iiiii iiiii iiiii iiiii iiii iiii <br /> , _ 2014189633 <br /> � � ` Rept:1645382 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> / �r NOTICE O COMMENCEMENT 12/03/14 D. W. , Dpty Clerk <br /> Permit No.<�—`�� r`��" ���V �GJ� Q! �� �pqULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER <br /> 12/03/14 10:37am 1 of 1 <br /> Property Identification No. OR BK �11 g p� 922 <br /> THE LTNDERSIGNED hereby gives notice that improvemen�s will be made to certain real properiy,and in accordance with Section <br /> 713.13 of the Florida Statutes,the following information is p ovided in the NOaICE OF COIVIMENCEMENT. <br /> 1. Description of property(legal description:� � � / � 6 C fG l � �z�� <br /> a) Street Address: � d l/' ,t' i s <br /> _ 2. General description of improvements � <br /> 3. Owner Information � / ;�j� <br /> a) Name and address: ��l'���G � S •3S'� � �� r� �' ��,017 f i �(.S �' _��`s�-� /� <br /> b) Name and address of fee simple titleholder(if other han owner) � <br /> c) Interest in property <br /> 4. Contractor Information /� n / "/ <br /> a) Name and address: �/� (�1.� / ^ ��O� L� Q �� /�/(�� Ze h /�l?/! �/ <br /> b) Telephone No.: / ' - ��' Fax No.(Opt.) ,L <br /> S. Surety Information ' 7 Z <br /> a) Name and address: <br /> b) Amount of Bond: ' <br /> c) Telephone No.: Fax No.(Opt.) <br /> 6. Lender <br /> a) Name and address: <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; <br /> a) Name and address: <br /> b) Telephone No.: Fax No.(Opt.) <br /> 8. In addirion to himself,owner designates the following p rson to receive a copy of the Lienor's Notice as provided in Secrion <br /> 713.13(1)(b),Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: Fax No.(Opt.) <br /> 9. Expiration date of Notice of Commencement(the expir tion date is one year from the date of recording unless a different date is <br /> specified): � <br /> WARPTING TO OWNER:ANY PAXMENTS MADE B THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT t�RE CONSIDERED IMPROPE PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, <br /> FLORYDA STATUTES AND CAN RESULT IN YOUR AYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A <br /> PTOTICE OF COMMENC�MENT MUST BE RECO ED AND POSTED ON THE JOB SITE BEFORE THE�IRST <br /> INSPECTION.IF YOU INTEND TO OBTAYN FINAN ING,CONSULT YOUR LENDER OR AN ATTORNEY BEFOIPE <br /> COMMENCING WORK OR RECORDING YOU NOT CE OF COMMENCEMENT. <br /> STATE OF FLORIDA --� • <br /> COUNTY OF PASCO ��it!'�C/LL'i. �iL'I.�)�YI/Y1'�-'ti�`-'° <br /> Signature OF Owner or Owner's Authorized Ol�cer/Director/Partner/Manager <br /> ;��e f'�-c� �y f,i ��� yn � nS' <br /> Print Name <br /> The foregoin ins,ument was acknowledged before me this� day of �eC�xn�P� ,20�by <br /> (3t2, (,tl�fhi nCtS as (type of authority,e.g.officer,trustee,attorney in fact)for <br /> (name f party on behalf of w o instrument was execut ). . <br /> Personally Known_OR Produced Identification_ Notary Signature � <br /> Type of Identification Produced �C� �►�?i-S I,�CP,Gc� Name(print) (.C��1�I� 2S <br /> Verification pursuant to Section 92.525,Florida Statutes.Under p nalties 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 knowledge and belief. <br /> FORMSMOC.rvsd2007 � <br /> Sig�aMe of Natwrl Pecson Sig�ing Above <br /> 5'='`'�"e'�"' <br /> � •"'.�i�'y�•., JACQUELINE BOGES <br /> '� := Commission#EE 040520 <br /> �� :��o�= Expires December 12,2014 <br /> r� '•k}j�N;0.�`•� BondedTAruTmyFainlnmranca600-3B�r1019 <br /> �� <br />
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