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15-16021
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2015
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15-16021
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Last modified
3/21/2016 10:18:50 AM
Creation date
3/21/2016 10:14:15 AM
Metadata
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Template:
Building Department
Company Name
HESS
Building Department - Doc Type
Permit
Permit #
15-16021
Building Department - Name
HESS
Address
6026 GALL BLVD
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� � I IIIIII IIIII I�III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII � <br /> I I 2015025774 <br /> • - - -- <br /> � IRcpt:1661788� Rec: 10.00 <br /> DS: 0.00 IT: 0."00 <br /> NO'�ICE+Ok`COIVIlYI�NC�NtC�T l02/20/2015 L. K. , Dpty Clerk <br /> PRULA S 0'NEIL,Ph D PRSCO CLERK.& COMPTROLLER <br /> ParmiENo.� � �02/20/2015 08:42am 1 � of 1 <br /> TaxFaIzol�To. �, OR BK� ���� PG '1�7'1 <br /> T�UNDERSIGN�D hereby giv�s nodc�that improvements wil�be mada to certainreal property,and in a�eord�ce�tvith Section <br /> 713.13 ofthe�lorida SYatutes,tfie foiloSVing infounafion is provided�n this I+7��ICE(3F��lYINIENG�Iti�N F. <br /> I.Descrip�ifln ofproperty ETegrr7�tescrrpiion}; e �3� °2 i�- C��i t7 - I 7 C7 il � �D f 0 <br /> a)Street�jvb)Address: � i �' -e� �'l/s" — • <br /> 2,Genersl desc�#ion o�impravemenfs: <br /> 3.Q��nerTnforniation ry( nI `�� � , �\ �4�f^ <br /> a)Name and address: "�lY"1 0`�ul <br /> b}Name and address of fee simpie titleholder(ifother fhan ownerj <br /> a)7nterestinpmperl.Y �f� I�M,ZN <br /> 4.Confractor Infoffia�ion - r ' 1�I <br /> a�Nameaud add_ress:� ��C����G'�� ���" )` '--1`1� .� r�ec�r�« a�����.���� <br /> h)TelephaneNQ; ��Q��9��(0 �'aYNo.(opt) <br /> 5,SnreLplu€ormation <br /> a)I�Iame and address: � <br /> b)AmonnF ofBond• <br /> c)TelepIiwieNo.. � FaxNo.(Op#.) - <br /> G.Lender � � <br /> a)Naine and addtess; <br /> PhoneNo. - <br /> 7.Identity oFpersvu Zvithat the Siate af�Io�da desigt�ted�p ou*ner upon avhom notices nr oth�r doeuments may he served: ' ' <br /> aj I�I'ame and address• <br /> . . b)Teiephanel*I'o.: � Fax No.(Opt.j . <br /> 8.Tri addition fo li�mse�lf;o�vner designafes t�e follow.�ig pessonto iecaive a copy af the Lienar'sl�Totice as prayide�.in.5eetiori <br /> 713.13{t)(b),k�orida Stafntes: <br /> a)Name and address: - <br /> b)Telephrnae No: k'ax No,{Op�) <br /> ' 9.Expiration date ofNatice of Commencemeut(the eapira�in��dateis uz�e year frov�#ha date o;f xecording ttiuless a ST'ifferent date <br /> is specfiied}: - '� <br /> ��N�YG TO 0��: ANX�'A�Y14�1�I�5 74SAD�BY THE�W1�7ER�TTIIt THE�'T�i.A,�'ZUI�T al�'�SL Nt3TIC�aS <br /> CQbF��P7CEN�T�AR�Ct)NSIDERE�IMPR{���It�A�'M�IV��U1,I�ER C�A.3P'.�R��3,PART�S�CT'IOi�I 713.x3, <br /> rI.ORIl?.A�'ra'�r S,�ID C�N RESU�'I'IN Y43Uit�A'YSI�TG x'4'YXCE FQRIll�ROVE1��1�I�'S Tfl YOIIR PRQP��`Y. <br /> ANOTIC�Ol��OM14�NCEN�I'T NZi7�T�E�CfQ�?��AN17 PaSTITD OlYT'ffG JOS�T�E BE�'O12E TS�FI�ZST <br /> Il�TSP�CTION. ICYDUINTEl*TI)TO O�TAIN�TN�1Td�TIYG,��N�II�T YD�RL•�IDIIt OitArI ATT�DRN�,X S�ORE <br /> Cp?177M�1�ICIl�T��'QRg ORRECOI23)INGYO�2 N()'fiICE�OF�014�NC�ME1�. <br /> . sr�xE oa�toiun ��,� dAN�h7 HY7E � �J "- <br /> CDUh'IY pRY31� �'�°� 6NY CQMfi�11SS10�;�EE866778 10, � <br /> y��j��''� Q�PIRES:JAU21,2017 Signatureo£Q�c�nerorOmner'sAn#?�arized0fficer/Director/P /Manager <br /> Dondcd thro�gh 1s¢5tafe Insurance '"�P���� ��`��� , <br /> PrintNune <br /> Tlxeforegoir�g insfxumenf�vas aekno�vledged beforeme this�_day of �U 20�,by <br /> ��1C�,)Ul �K��'1�V 1'[.�as_ ��`���� 1 Y 1 C�� 1U'"J V�� ' {type of ai�tl�oritg,e.g,offz�er,#r�s#ee; <br /> � attorney in facf)fox' ��_l� CV�P (nsnie nf gartg eI�a��of�houiias ent�vas axecuted): <br /> � • <br /> PersonallyKuosyn�pitFroduced Identi�cation Notary S�gnah�re <br /> v <br /> Type of Ideittif�oatiot�krodneed Name[print) � N,y <br /> ��� <br /> �r�-_�, <br /> ��;y�..�'0��� <br /> Verifioation pursuant#o Section 92,525,��orida Statutes,Under penaities ofpexjury,I declare tha#Ihaveread theforegoing and t�aY <br /> the-faets sfated in it�e true fa fhe best-of mylaiowledge aud beiief. ' , <br /> FORhiSRyOC,nad2007 �I����Ci�W�Vt, <br /> • � • Signah�ze ofNahual Person Signing�Iine#t0.)AHove <br />
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