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16-17301
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2016
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16-17301
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Last modified
2/20/2017 11:55:19 AM
Creation date
2/20/2017 11:53:22 AM
Metadata
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Template:
Building Department
Company Name
MAJESTIC OAKS
Building Department - Doc Type
Permit
Permit #
16-17301
Building Department - Name
NHC-FL 115 LLC
Address
39752 COGHILL LP
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� '�� Fa� �l��� � I IIIIII IIIII IIIII IIIII IIIII IIIII IIII9IIiII IIIII IIIII IIII IIII <br /> �lorida ;� ���j;,������ 2016062574 <br /> ��►ildin 6272 Abf�tt S4ation Dr. ' , <br /> g Un�101 Rcpt:1765400 Rec: 10.00 <br /> �,ode �hyrhiCi�,fL 3s����2 " DS: 0.00 IT: 0.00 <br /> 04/22/2016 K. R. M. , Dpty Clerk <br /> Pertnit No. Parcel ID No J <br /> NOTICE OF COMMENCEMENT <br /> State of �j��i O' 4 County of ���C"� <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,Florida Statutes, <br /> the following information is provided in this Notice of Commencement: <br /> i Description of Property Parcel Identification No. ��/ - �G•a � � ��j v ` �d��� — ��f(o � <br /> Street Address: �7 7.SoZ. e� �!�� �UO ' � "l' �3 S�� <br /> 2, General Description of Improvement �Cth rJd� C�/!�'u �7��a Cd u� � Q lt r"�"��� <br /> 3. Owner Information or Lessee information if tfie Le see contracted for the improvement: <br /> l�fC ^�'G /S� —LL C t' �i�v� <br /> � -li'-r'i�/ E�a�e/%a�� �✓• S�`� ,6'-3/� �-� �`f�� �e � 8s a s�( <br /> Address , City S�a�e <br /> Interest in Property� � !�/n �r <br /> Name ot Fee Simple l'itleholder <br /> (If different from Owner listed above) <br /> Address / � / T Ciry State <br /> 4 Contrector � � rzc C�� � �u w� / <br /> l��.5��1 e �lC'• /�/� �/ ��.,'��y��t r f l S f� � 33.�y'� <br /> Address ? City ' State <br /> Contractor's Telephone No.: ��J ` �u�+ � 73a d <br /> 5. Surety: �� <br /> D <br /> C <br /> Name O�N D <br /> Address Ciry State � �N�n <br /> Amount of Bond: $ Telephone No.: � m <br /> 6. Lender; ��r <br /> Name 'w'�� <br /> e�7�+s <br /> Address City State ��W� <br /> Lender's Telephone No. ��a��� � <br /> 0 <br /> 7 Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by � c <br /> Section 713.13(1)(a)(7),Florida Statutes: , �°�r <br /> m <br /> � <br /> �O � <br /> Name �~'� <br /> ��+o <br /> 3 <br /> Cit State � <br /> Address y � � <br /> 0 <br /> Telephone Number of Designated Person: � <br /> • m <br /> 8. In additiori to himself,the owner designates of � <br /> (� to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> Telephone Number oi Person or Entity Designated by Owner: <br /> 9. Expiration date oi Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the <br /> contractor,but witl be one year from the date of recording unless a different date is specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT <br /> Under penalty of perjury,I decfare that I have read the foregoing notice of commencement and that the facts stated therei�are true to the best <br /> of my knowledge and belief <br /> STATE OF FLORIDA <br /> COUNTY OFPASCO <br /> Signature of Qwner or Lessee,or Owner's or Lessee's Authorized <br /> OKcer/Di rector/P artner/Man ag er <br /> �/�ii.�� � <br /> Signatory's Title/OKce <br /> The foregoing instrument was acknowledged before me this�/ day of �C�20��by �ITL— //�'5����`" <br /> as �����— (ty e of authority,e.g.,officer,trustee,attorney in fact)for <br /> (name arty on behali of who 'nstru nt was executed). <br /> Nota Si nat ' V�� i � <br /> Personally Known 0 OR Produced Identification �Y 9 / . -� <br /> �L+ 1J�'�L� Name Print ���/l�n�� !'� ��rL�TlC� '�.. <br /> Type of Identification Produced t � ,. <br /> i� <br /> ,�+'�h��ty,�,I SHIRDENK.DELCOTTO <br /> ��� :r MY COMMISSION�EE 198857 <br /> 5,,-�'��, a? EXPIRES:June 26,2016 <br /> � �,���Q�`' Bortded ThN Notary Public Underwriters <br /> wpdata/bcslnoticecommencement_pc053048 <br />
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