The Pezzini surname is ultimately derived from the medieval Latin word "pecia," or "petia," meaning "piece," sometimes a piece of cloth, sometimes a silver coin. As a surname it is thought to have been taken on as a habitational name from any of numerous places so named, such as Pezzana,
. Some of these place names may be derived from the word "pez," which refers to a "scotch pine."
The surname Pezzini was first found in Verona where the Pezza family were listed amongst the nobility of that city. Variations of this name were also found early in the South: the del Pezzo family of Naples and Sorrento are first recorded in the twelfth century with Stanislao del Pezzo, in the year 1109. This family was granted the title of "marchesi di Civitaretenga."
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