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15-15930
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15-15930
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Last modified
11/17/2015 7:34:31 AM
Creation date
11/17/2015 7:34:30 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-15930
Building Department - Name
LOPEZ,ANDREW C
Address
5111 19TH ST
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. ,� � , . . , <br /> . <br /> ' , . <br /> { <br /> �v - : � : :rv . <br /> ' � 11111flfllillfllilfllilllfllNlll11111iflflllillllllllllllll � <br /> i NOTICE OF COMMENCEMENT ; z015008502 <br /> I MRI# 9'1�t <br /> � <br /> PermiC No. _ <br /> Taac Falio No I 1-26-21-0410-20I00-0090 " � <br /> THE UNDERSIGNED hereby gives notice that impravements il!be made to certain rea!property,and in accordance with Section <br /> � 713.13 of the Florida Statutes,the followina inforroation is pro ided in thisNOTiCE OF COMMENCEMENT. <br /> ' 1.Description of property(tegaf descriptlon)TOWN OF ZEPHYR !l.ls PB 1 PG 54 1075 9 14&11 BLOCK 201 OR 5766 PG t702 <br /> , 11-26-21-0010-201U -009b <br /> � Address: 51 t 1 19TF'STREET,ZEPIiYRH1LLS,FL 335 2 • <br /> 2.General description of improvements:ROOFING� • � <br /> 3.Owner information <br /> a)IJame and address:ANDREW C LOPEZ;5111 19T" TREET,ZEPFtYRHilLS,Fi.33542 <br /> b)Name and address of fee simple title ho7der(if othe than owner):NiA Rcpt:1554586 Rec: 10.00 <br /> c}Interestinproperty: OWNER � DS: 0.00 IT: 0.0@ <br /> �Q.Cantractor lnformation 01I20/2015 E. M. , Dp�,y Cierk <br /> ' ��� a)Name and address: MILSAR ROOFING 1NC,. 15911 U.S.HWY 301 DADE CITY FL 33523 <br /> b)TelephoneNo.: 352/56?-6047 � " Fax No.(Opt.) <br /> • S.Surety Information . � <br /> a)Name and address: I • <br /> b)Amount of Bond: ; <br /> c)Telephone Na.: R Fax No.(Opt.) <br /> 6.Lender 4 <br /> a}Name and address: ' ' <br /> � Phone Na. <br /> �.Identity of person within the State of Florida designated by owner npon whom notices or other dacuments may be served,- <br /> a)Name and address: <br /> b}Telaphone Na.: Fax No.(Op[.� , <br /> $.ln addition to himself,awner designates the foilowing person to receive a copy of the Lienor's Natice as provided in Section <br /> 713,t 3(1)(b},Fiorida Statutes: � <br /> a)Name and address: 1 ' <br /> b)Telephone No.: � ' Fax No.(4pt.) <br /> 9.Bxpzration date af Notice of Cammencement{the expiratio date is one year from the date of recording unfess a' <br /> different date is specified}: � � <br /> WARNING TO OWNER:ANY PAYMEN"i'S M�ADE SY T E C7Wi�fER AFTER 7'HE EXPlRAT10N OF THE NOTICE OF <br /> Ct3MMENCEMENT•ATtE CONSIDBRED IMP120PER PA MENTS UNDER CiiAPTEtt 713,PAitT 1,SECTIC}N'713.1 S, <br /> � FLORIDA STATUTES,AND CAN RESULT IN YOUR P YING TWICE FOR IMPR(?VEMENTS TO YOUR PROFBRTY.A <br /> NOTtCE OF COMMENCEM�NT MUS"['BE RECORDED ND POSTED ON THE JOB SITE BEFORE THE FiRST <br /> INSPECTION.tF YOU INTEND TO OBTAIN FiNANCM ,CONSULT YOUR LENDER OR AN ATTORN£Y BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOT1C OF CQMMENCEMENT. " <br /> 1 <br /> STAT�dF Fl.ORtDA /,(� t%� rr' <br /> COUN7'Y OF ��1►C� " � O. t/" � �- • <br /> 7;l� � $ig ature of Owner or Otivner's Autharized t'�fticerlDirectorlPnrineclManager <br /> . „11�'1rJr^ct W t.. �..Dx''G�.��QWYI�?'" <br /> ' , Pri t Name a»d Title , <br /> The fotegoing insh}�ment was acknowte ed be�ore e thi ��day of ,20,�,by <br /> !U �C.. a's �6� (type of a ority,e.g:o cer,trustee,attorney in fact)far <br /> � �y��� � (name of p�tty on beh f of w}iom instrument was axecuted) <br /> Personaity Knawn ^OR Pradaced ldentification� Not ry Signature��'-�----_�1.�.�g�.11parl--,�-�.,: <br /> Type of ldentification Produced D/t�,�w.. + .�e.��,�_ ame(print) <br /> --AND �'`;���:;'�t� MOttYS,WAt!„At'� <br /> Verifieation pvrsuant to Section 92.525,Florida Statates. ndsr penalties of� lec��l�i��t�d tfie foregoing and that � <br /> the facts stated in it are true to the best of my knowledg a eiief. �'r����M���17 � � <br /> I <br /> . �� � <br /> • 1 ignatare of Naturat Person Signing(ifr 1 c tl ! Above ' <br /> i <br /> F4RtiS/FtOC.wrd2D07 � ' <br /> ! � PpULA 5.0'NEIL,Ph.4.PRSCO CLERK & COMP7RO�LEh <br /> � � 01I2012015 11:03am 1 af 1 <br /> ' OR�BK. �'1�� P� ��� <br /> i <br /> ... _ � <br /> � - � <br /> � <br />
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