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16-17579
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2016
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16-17579
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Last modified
11/2/2016 11:10:52 AM
Creation date
11/2/2016 11:10:51 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-17579
Building Department - Name
GARCIA,BILLE & NOTHSTEIN RICK
Address
5128 17TH ST
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, . Ill�lilllllllllillll!!I!lIIIIIIlIIIlIlllill11111111111111�11 <br /> ' 2016110815 <br /> Rcpt:2786520 Rec: 20.00 .- -- <br /> DS: 0.00 IT: 0.00 <br /> Key No. ' Permittvo 07J15/2016 J. R. , bpty C1erk <br /> NOTiCE dF COMMEf�CEMEF�bT ���� ��� �� �� <br /> THE UNDERSIGNED hsreby gives notice that improvement wiit be { ,(�� +�^� 1 � <br /> Made to certain,antl in accorda�ce with Chapter 713,Florida State �� i��Y\\� I,�) 1 L- v"d� 1� <br /> Statues, the to!lflwing information is provided in this Notice of <br /> Commencement: <br /> 1 Description of Property. Parcei Na.: �1 (7l� � ` V V} ti✓ CXI��� LJ�O v <br /> {Lega! desCription of the property and streei address if availabte) <br /> 2 Gen ra! escriptian of Improvement: <br /> '2—� <br /> 3. C?wner inform�ation. N me. C� <br /> Address '�i1�1� �1�� City -e i State�L Zip�, ►�01, <br /> Interest in Property: Fee Simpte � <br /> Name and Address af Fe� Simp(e Titiehofder(If other than owner) . <br /> � Con4ractor: Name: Rian's Raofinq !nc <br /> Address• 14498 Ponce De Leon Blvd City Brooksviiie S#a#e FL. Zip 34601 <br /> � Phone No. 352-68fi-333C! Fax No. 352-754-8902 <br /> 5. Sure'�,�• "-:_,� Amount of Band. $ <br /> .�:�ress: City State�Zip <br /> Phone No. Fax No <br /> 6. Lender: Name� � <br /> Address: City State_,__Zip <br /> Phone No Fax No <br /> 7 Persons within #he State of Florida designated by Owner upon whpm notices or other documenEs may be <br /> served as provided by Section 7'l3.13{1)(a}{7} Flori:ia Statutes. <br /> t�.l�r!1P.. <br /> Address' City �tate �Zip <br /> Phone No, Fax No <br /> 8 In addtion to hirr,�=':;;, ;�ers�ir, Owner designa'res t�/A of <br /> �� ;�:caive a copy of the Leinar's Notice as provided in Section 713 13(1){b), Florida Statutes <br /> 9. Expiration date af Notice of Cammencement(the exp'sration date is '! year of recording uniess a different <br /> date is specified.) <br /> WARNING TQ OWNER:AfYY PAYMENTS MAl7E BY THE OWNER AFTER THE EXPiRATiQN tJF TtiE PtOTiGE d�COMMENCEMEN7 Af2E <br /> CONStDERED IMiPROPER PAYMENTS UNDER GHAPTER 7I3,PART 1,SEC 773.1J,FLORIDA STATUTES,AtVD CAN RESULT fN YOUR <br /> pAYlAiG�!'JtCE FOR IMPROVEMENTS TO YOUR PRCIPERTY.A HOTICE OF CQMMEflGEMENT MUST 9E RECORDEp AND POSTED ON 7HE <br /> JG18 StTE SEfqRE THE FlRST 3NSPSCTIQN.IF YOU INTEN�TO OBTAtN FtNANCiNG,COfVSUtT Wi7N Y6VR LEJvnER OR AN ATTOFtNEY <br /> BEFORE CUMMENCiNG WOFtK OR i2ECORQiNG Yt3UR tJOTICE QF COMMENCEMENT. <br /> /{�� �//�} e <br /> x /-./.�GJ`.�Q o ,�'�.� <br /> Signawra of pwner ar Owner's•A�thori2eC OKcerlClireGiorlPartnerlManager S�gnatory's Titf@IOKCE <br /> ""S}gna�tu{re Reqvired by same betow 6y'X"mark••• ����y�'-'Ji���� <br /> stare of ���Y1�AV• ``,, �{ co��cy or <br /> 7he forgoing instrument was aCknowtedgetl before me this��{day of,1�U1 24�by ��1��:Q, t ��.i� <br /> a5 � (Pr�nted name a�son ackncwledgi�g) <br /> for <br /> {Type o(aulitiorrt .g�otfiae,irusie , e in fact) (Name of party on behal(UI who insVument was executed) <br /> Signature of olary Print Typa or Stamp Name o(Notary <br /> PerSonaiiy known OR Prod.y ced ideniifi �on ✓� <br /> Type olldenfification Produced: iy��$��S'���- <br /> Veritication purauant to Seetion 92.525,Ftorida Statutes:under f'enalties ot perjury,1 dectare that I have read the foregaing and tAet the tacts ' <br /> stated in It are true to the be'st of my knowledge and befiel. <br /> X �..��f:C..�i �w /'"���d <br /> SignaWre of Naturai Person Signing Abave � ' __, <br /> �i�"�`ds;: l.O.�sA M LEt+3p�-- <br /> � � '`� MY�p{y�p,t(Sg;GN Y FF'227169 <br /> :f"��Q'�: EXPlRES tvi<.y 0�.2019 <br /> . •7F,-C D', FlolttGsPJqtz�i5�r:i�:rr.'.9m <br /> •PRULA S 0'NEIL,Ph.p.pRSCQ CLERK & COMP7ROLLER <br /> 07/t5/20I�39�m PG °f 1 <br /> � OR BK �'?�� <br /> f <br />
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