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15-16618
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15-16618
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Last modified
6/15/2016 11:10:27 AM
Creation date
6/15/2016 11:10:26 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
15-16618
Building Department - Name
WILLIAMS,PATSY N
Address
5222 16TH ST
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� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllilllllllllllll <br /> ; � 2015151933 <br /> i <br /> i • Rcpt:1714307 Ree: 10.00 <br /> � DS: 0.00 IT: 0.00 <br /> � / - 09/21/2015 J. R. , Dpty Clerk <br /> v PpULR S 0'NEIL,Ph D.PRSCO CLERK & COMPTROLLEI <br /> 090RiBK01��1,1��am PG �683 <br /> � <br /> NOTICE OF CO NCEMENT <br /> i Peimit No. <br /> Property Idendfieation No. %/-a6� a� -oo�o- �9 60o i oa� � . � ` � <br /> THE U2IDSRSIGNED hereby give inform�yau thet the}mprovemeat w�'tl be mede ro ee�tain rral pmperty,end'm ecco:dmlce w(th <br /> 5ection 713.13 of tha Florida Smhrtes,the followit�g infnrmedon is provided in this NOTICE OF COMhlL+NCEMENT, <br /> 1.Ducription ofproperiy(!eg esdtpdon J <br /> a)Street Address: <br /> 2.Qeneial description ofimprovements: � <br /> i - _ <br /> 3.Owner Info;mation <br /> e�x�e ffia�aa�: .i..l�i$�L� Sa�� 1 l��'� ' I(s F/• <br /> b)Neme and addross of fee simp e tit oholder(if othei thaa owner) 9 ��r 33�i{�.., <br /> c)Intarwt ia'P�P�Y � . <br /> 4.Con�ecior Info�metion ,/ <br /> a)Name�d eddcsss:�Y��,r �o�,�lc.Q 'f-�`n G 31 G I �A-(I R l,�cl. Z�o(n,���`��S� �- <br /> b)Telephone No.:�� � I F No.(Oot) 33S y(� <br /> S.Surety InfoimeHon I . <br /> e)Nameend'eddress: ; . � <br /> b)Amo�t ofBond: I <br /> c)Telephone No.: • ' I F.ax No.(Opt,) <br /> 6.[.ender I - <br /> e)Neme and addras: <br /> I Phoao No. <br /> 7.Identhy of peison witlun the State of Florida dealgnafed by owner upo�whom notiees or otLer documenta may be aerved: <br /> a)Name end addrass; I � <br /> b)Telephone No.: I Fax No.{Opt) <br /> B.In addition m tdmsel�owner daignates dia following per�on W rxaive n eopy of the L{euor'a Notiw aa'provided'u►Secrian.. <br /> 713.13(1)(b),Florida Staurtd: <br /> a)Neme end addesss: � <br /> b)Telephone No.: t• � ' I .Fex No.(Opt.) ' <br /> 9.Expicatioa deu of Notice of Commenceaunt(the expuetioa date ia one year frbm the date of recording�mlaas a dtffetmt date iv <br /> spaclfied): � <br /> VYARNING TO OR'NER ANY PAYMENTS 1VIADE BY THE OWNER AFPER THE EXPIRATIOIY OF Y�TIOTICE OF <br /> COMMElYCEMEIVT ARE CONSID$RED IMPROPER PAYMEN7'S UNDER C$AP7'ER 713,PART I,SECITON 913.13, <br /> FI:ORIDA STATUTES;AND CAN 12ESULT IN YOUR PAYIPTG TWICE FOR IIVIPAOVEMEN7'S TO YOUR PROPERTY. <br /> A NOTICE OF COD9�NCEMENT MUSf BE RECURDED AND�OSTED ON THE JOB STPE BEFORE THE FIRST <br /> I INSPECTION. IF 1'OU INTEND TO OBTAIN FINANCING,CONSULT YOiJk LEMUBR OR AN ATfORNEY BEFORE <br /> COMMENCIIVG WORK OR RECORDING YOUR NIUTICE MMENCEMENT. <br /> . i � <br /> bTA7'�OF PLORIDA�q�:..��� <br /> COIIMY OF P�COq�,, <br /> �'+�� rii conCMissioN��s�saN °� °` :��m�„�Q <br /> "�'�R;� F�triRes.�„n�zs,iois p,;��rr� <br /> ��.�;• .,-.-,..ti�. <br /> 'Ibe fomgahig ias�ument was admowledged before ma this ��_dey of S6PT• . .20�by �1 TS y <br /> VYILtrAMS es � (type ofeushority,e.g.o�ar,trusteq attomey <br /> in fact)for . (mme of perty on behalf of whom Sashumeat was execuoed). <br /> Pe�sonallyKnown_ORProducedldentlScation� Not�ySi�afure oy O�DG �ATttIG1A L . �7'QNIJ.S�Ql1.� <br /> I Type of Idwtifieatioa Produced a•�• Name(prmt) '�T�i cA 1�V . W 1 1.!(,�/►'� �' <br /> � vJY.Sv1-6�v j,s•7�o=0 . - . , <br /> � <br /> VerlficeHoa pursuent to 5ection 92.525,Florida Stawtes.Uader pmehies,of perjury,I declare that T have read tha forogoing and tLat <br /> the facts stated in it are�ue to the best of my lmowledge end befie I � <br /> � '' I � . <br /> � s��arrr.c�rd.�s <br /> � FOW45MDC,mdM�7 _ <br /> I ' . <br /> I <br /> I <br /> � <br /> I - <br /> L <br />
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