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<br /> Rcgt:179�62F! Rec: 1P}.OPS
<br /> D5: 0,00 Ii: 0.9�0
<br /> 08115/.2016 K. �f., DP{y C1erk
<br /> Vpt%:A S.C'NEcL,P�O PRSGC �^RXCF.i�TROLL'cR
<br /> @S�SK�����rn P6: ����
<br /> :vo�rac�c����stv�rrc�� a�v�
<br /> Pernit No.
<br /> Propecry ldenti`ccz:ion?vo.���,l���-�� �"�t�A�""�o€�
<br /> THE II3�'DEnS�G?IEB hereby giva iuforms yau ctnattt:e i:npravenent wiEl be m�de to.cerc�ia real properry,azsd in accord2nce wiu`;
<br /> Seccib:�713>l3 ofthe Flarida Ss2cutes,the foitawin info�-anatiQn is prpvided:in this N�TIC�f3F CpythYEN�iviE:�''I`.
<br /> �1 t;fi�-�S�i�. 1;�2�E P&S�CQ��'t��.Cs'E"`�U;"v"'a1��:t1�`�z�h,��1�...iS
<br /> 1.Descriptian af propeYy(Le�ai.descrzgiion:)
<br /> a}5tree:AddresS: � 1 """� 'a3
<br /> 2,Ge.^.eral description of imprbvemen�:. '`� y
<br /> 3 pw�ter tnfor.rtation
<br /> a)';tiame apd addr:.ss:�{1�1.�� d��.� i����11[��,���. ;%�G>.�c�$a�G ��Y"[,..�'S�c`�.
<br /> b;lVzme a�d address of fee simplc titleholder{if othet than ovmerl L1 �t
<br /> c}iz�er:sri:s praperfy '�-'� -`'�'-+-tcLtff�t_:
<br /> A.Cont�cter Infor,nar,oa /� � ^�n,'�� r�_-+�_�
<br /> a�Nariie aad addr�,ss• t;_��'�l`�(1_l-�_���ir(?i f�.'�,s���oa.������-i,� �4-`!� '�E..J�,id%'L
<br /> b}.Tef�hQne No.: �C"�„�,t�r �'1t� Fax;vfo_{flut.} �. .
<br /> S.Suret;�•tnformation �
<br /> a)Name znd address: i`���i
<br /> b}Ar.ia�nt of Bond:
<br /> c;"T�lepho;te No.: Fax 1�To.{Opc)
<br /> 6:Lender t
<br /> a)Nuae and address: �i t �'
<br /> ` Pnone\o-
<br /> 7.Idenciry of per'son wi[hin zhe State af Fioriqa designated by awnsr upon whom r�piices or other dauu�ents may be served:
<br /> a}Nzme aacl addr�ss: �i�d�'
<br /> b}'i'cSephona�'o.: Fax No.{Opt}
<br /> 8.In additiot�to'himself,ovmer 3esigaates th�followipg person to recei+ie a copy of the,Lienor's 2eorice.as provided in Sectiott
<br /> 713 13(1)(b; Florzda Stamtes; �
<br /> a}.Nam�and addicss: �-'{�
<br /> b)TetepKone t�.o.: — Fax;30.(O�t.)
<br /> 4:Ex�iration date oErIotice ef'Cemmer,cement(tHe�xgiration date is or,e year&qm the date ofrecording anlzss i dtffersnt daza is
<br /> �pec��:eii}•
<br /> WARN?N�T4 Q4YNER: Ah'Y PAY i'tIF„�tTS h?A13E BY TTi�3L'4'1`Fr^,R A;�'I'ER'I'FIE EXP3�2ATIOi1 Q�T?�E N4TiCE OF
<br /> Cdi?3M�.NCEl'lEAIT dRE CCNSIUERED Xi�£FRCiPER k'A.YtYE�i'I'S C3iV'l3ER Ci�APT£R 7I3,.FAR'T�,SECI'IC3?V 713:33,
<br /> 'FLORTDA 57'A1"UTES,AND CA.T�I AESUIL'I'�I'YO�'R�A'_✓=.�'��.T'�%JYGE k'4R TMP1:2L�V�iY.�ENTS Z`�YO'[T£t PR4�''ERTY. '
<br /> A NOTICE OF CQ2Y�MEt10EVIE3�`T:�'fTiST BE t`',.'ECt3?2AJEI?A..'�tT}POSTESD 4>h�'ftE 30B SITE SEFQRr i FTE F7RS'C
<br /> INSPEf;TI{3I�. I'�Yf?tJ TI`TE3`tI?Tt�t)$1'9.FlY FII+tANGI?�IG,�Oi`FS,Liit�"�QL}3.2 Z,EI�IIAE�t t3R Al�i AT€'€3PIVEY BEFaRE
<br /> C�vIMENCF�TG V++ORTC Olt I2ECORDTi�CG YOT3�NO'TT�CE �NC�1,tiIElVT. ''` �-" -.,,
<br /> srn�a�rz..oainA �� �
<br /> coumm�oF pnsca 'r "�� .
<br /> Sir�maturo oF�Cvncr ef .cf"s Avti:orizeC Offeca/Dir-,.ccorN.mtrier/1Sanager
<br /> �����
<br /> Print N«me
<br /> The fore,���ina instsvzFent was zclainwiedged�fa:e me.his ��� day af ��,��1'�': ,2Q�frv
<br /> ��E},�.t �t��(�� Ps S,�^t'��`�4',"'v�„ Y' trype of authority,e.g.a�cer,�ustee,,attor:.ey
<br /> in`acc)for (name e_`oasey on behal`ofwhar.'�in . � { was executed;.
<br /> tj
<br /> PersoaatkY:iCnawn_QR P:odueed IdentiFicatian� �Toeary Signatura
<br /> Ty�e of Fdeaci ication Produced .•'�-�� r� ���'�e(print} . .=i" i��.?� �'tl�.l.t�
<br /> �----�_'
<br /> Ve;ificatian pwsuant zo Sectian 9?,5�5,F?o' taYuYes.Llnder genat�zes ai Perjnr}': ectare.Yhat;hava r s fs�regoing and in
<br /> che facCs staced in it ase true,to cfie best o my kr!owiedge and beli j
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<br /> Si ::tam A.. •at � A S' na.
<br /> FCRMSNOC,rvsCi0D7
<br /> 4 h i�iklaV,tSPc�.1.A'
<br /> ��'``"'� MY�R�E�i3?R l�g
<br /> �� gua4edV�'ut�hl�St�adsu�tce
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