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, I llllll lllll lllll lllll lllll lllll lllll lllll lllll lilli lifi llli <br /> 20150850 <br /> � Rcpt:1685955 Rec: 10.00 <br /> pS: 0.00 IT: 0.00 <br /> F.R�`C[IVC:.00IdI1CfI.ZOII 05/29/2015 T. S. , Dpty Clerk <br /> Retum to: <br /> NoT1eE<ii�COr.�MF.Ner:MFnr ,pqULR 5.0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER <br /> Statcaf'f]orida Nem�ilNu. 0SIZ9I20SS 9:58am 1 of 1 <br /> �,,�,YO,��.o ����,��,�,o N�. oR BK 9�96 P� 1688 <br /> 'I'he undmigned hereby giv�s natia tha�iniprovemenl will bc mede to e�nnin real pro�xrty,nnJ in alrowJanctt with <br /> cha�Cr n3,r•�orivas�aiuea.�nc�ou�{nC'�nlormetiun is pmvfded in thu Nu[icc uf Commrn�neny <br /> .[; lkscriptiunofPrupen�! ����'�'•����• '��• O�� <br /> 5Si� I�1`+� S1". Z.P p�....�-t__ 33�-IZ <br /> �2; Geneial desctiption uf impro'verpF'rits: A OO/1 <br /> rlA F T <br /> i 3. Uwner Inflirtnadon,orLe95ce intLrmation ifNe Lesiec wntmtted @�thc improvemenr <br /> � ��t �a.r� ��rcC�of�-4� -�'0ti-. <br /> :,.. •Ne,,,e�enaa� � 33°.3i2 <br /> ;ti, INerat in ProDeny.. <br /> ,� NemrJaddrss qClte simple�litlehuldcr(iFdiOc`cnt Gum Owner lis�ed above): <br /> �, Contractor. <br /> a� Neme and Address: . I. '�a� �h �l� •��� f� <br /> J'l <br /> �. •Phonc numbtr. _�,. •(�(��t,� <br /> 5: Sumy,(ifappliceble.ucopyufpeymrntbondisetted�edl. <br /> L. Nameund'Address: , <br /> 'b, Phpnonumhu: <br /> nmauntofMMd: E . <br /> 6, lxnde,r. <br /> a- [Jnmc and nddr�: - <br /> �b� Chpne nwnber. � � <br /> :7 f'�sonswithinlheS�etcafFluridadrsignuitsiby(h�m�upunwhamn�7tiasoru�h�doeumcn�smayb�: <br /> atrved as pmvlded by Section l l l,I 7�I xa)7:f'lorida Statutes, <br /> � ��Tw� ;a., Numcimdudticttst . <br /> � <br /> � • �� fi, Phonc numbtrs nfdai�a�ed�.�nvn's: <br /> � m <br /> �A .8, :8. Inadduwimhimstll'unc�rxlf.(h+nrdui�alcs. ol' <br /> ' � ' �tore,eeiracvpy.ufthel.icnurs.NotiiY�prpvidafin5eaion711.13(1H6),FluriJa <br /> 3 Stawt�: <br /> S/I �o <br /> � . j. „ I�� .h: Phuna num6�x ol'ptrspn or b�tiYy de�,ignaied by uwner. <br /> �. L � <br /> m <br /> � <br /> . � . ^�� <br /> �o � � � Y � ;�. LXPI[ffiI011 dffiC D�I19lICC O�CAIiU11COCCIf0.Tl(lA2 tK�fIN11Q(1 OB1C 1178y f101 D0 bC�01C NCNI11PI2IIOI1 U� <br /> e(� -�' a: � cbrolniRiun and finsl paymrnL tim will he I ya+r Gum�hc date ufteconling unles9¢JiHemm date i5 specifieJ) :. <br /> �O � 0 <br /> � �� � WARNINCTUUWNF:K;ANYPAYyfENTtiMAUF.NYThIE'QWNGI2AFTER'1'NFEXPIRATIUNUI�'fHGNOTICEOP <br /> e� CY)MMtENCtN1hNC.ARE CUNSIllEREU INIPRUf'tR PAYMFNf:S.UNUtIi CHAf'fER 717.PAR'I'1.tiE(:11C)N 71J,13, <br /> �� � � � I'I.qRIDA'S1'ATU'1'fiti.AND CAN Rf•.SULT IN YOUR PAYIN(i TWICI:FOR IMPROVL•tvIF.NTS'fU YUUR RRnPF:R'IY. <br /> � K NUTICF.`UI'GUMMF.NCF,MF,NT PotUST(iF�RF.CY)RDGD AND PUST[=D Ut�l TFIF.JUf3 51TIi�I3f:PURI:TFIF PIRS'f <br /> ��� --�O C � D INSPFCT�ON. IF YOU INTEt�D TCI UBTAIN FI�ANCINO.CANSUL'I'WCtH YOUR LFNDF.N OR AN A'fTORNFY <br /> � m _ —i <br /> D D � m HEFURI:COMMENCI!vG WURK OR ItC•CORUING YUUR NO'PICE UF.t(NdMENCL•'M6r71'. <br /> � Q Q � o Under prnaliies uf pery'ury.I declsre ILai 1 have frad ihe Ibn:guing No�ice uf Cummrnixmuu mid ihs�ihe�eus steoed+n i�arc <br /> ,� � -� Q �n, � wc Yv Ihe hes�o(my'knowltd�c and beliel: <br /> � D = -� � � � x �..�� <br /> r O � C fTl �l � '(s7 mw�of' m�la'.g!r:.�crONi�.r,�r&:�i�i� <br /> T Q � '� � h�iriiieil[NI C �h,��'.aiGiei7Mniiog�?�� <br /> � <br /> D � � �'"�' �„�,'„--.,O�2� <br /> r Z C�c� 2 r .st djlr.0�4'7'i,:. <br /> � m �� � STATEUF '�' ` �J <br /> T� T � � _ � COUN7Y tl� 1_ <br /> � q � n/ <br /> � � d� ,� 'Ihe Ibrcgiiing ins�nun2nt wns acl;nowl�dgetl hfuni mc Ihix O��Jay ol' .20�by�pG� �ui <br /> no � -r, � r,a <br /> r Z = � p / Nu •Pubii «ur,� <br /> o -O cn m m -r� �✓ ��� r,�„r: <br /> � —{ p =� � '� F'ttwnWlyKnuwn URf'roduced•Idcntif�ation <br /> C � N r O � �,3 'f.yp:of.ldentificati�n Pg�duCCd•�.-.. , V.0.Y Pv Notary PuWic Stete of Floflda <br /> .� p U) n — � MyG'ommissiunExpi . QG <br /> -< r Q=O c � n � � : Holly Hopper <br /> n r �- -r� � � c'�a � My Commlaslon FF 218984 <br /> � �C��Q ?� z D �oF�� ExplresO5H6l2019 <br /> C� <br /> � m � <br />