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17-18727
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17-18727
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Last modified
7/27/2018 9:19:49 AM
Creation date
7/27/2018 9:19:48 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
17-18727
Building Department - Name
EVANS,KELLY ANNE
Address
5850 13TH ST
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. � �- - iiii�iiiiiiiii�iiiiiii��iiiiiiiii�u«ii��iiii�ii�i�ii�iiiii <br /> 2014155319 <br /> Rcpl:1632851 Rea: 10.00 <br /> CE � C NCEMENT DS: 0.00 IT: 0.00 <br /> PermitNo. 10/01/14 E. Munguia, Dpty Cle�k <br /> PropertyIdentificatianNo. - - Ov - 3 �oD- OL �� <br /> TI�UNDERSIGNED hereby gives notice thai improvements wi be made to certain real property,and in accordance with Section <br /> 713.13 of the Florida Statutes,the fallowing infom�ation is provid d in the NOTICE OF COMMENCEMENT. <br /> 1. Description of properiy{legal descNption:) <br /> a) Street Address: � � <br /> 2. Geaeral description of impmvements �°�- <br /> . Owner Inforination <br /> a) Name and address: �� S f'✓�� ' -S't <br /> b) Name aad address of fee simple titleholder(if other than wner) S'a� 3 3S�/2 <br /> c) Interest in property � <br /> 4. Contractor Information <br /> a) Name and address: -S�.m � d '-�"' �` <br /> b) Telephone No.: � �- � r Fax No.{Opt.) <br /> 5. Surety Information <br /> a) Name and address� <br /> b) Amount ofBond• <br /> c) Telephone No.• � Fax No.(Opt.) <br /> 6. I.ender <br /> a) Name and address: <br /> 7, Identity of person within the 5tate of Florida designated by er upon whom noticas or other documents may be served; <br /> a) Name and address: <br /> b) Telephone No.: Fax No.(Opt.) <br /> 8. In addition to Ivmseif,owner designates the following petson receive a copy of the Lienor's Nodce as provided in Section <br /> 713.13(1)(b),Florida Statutes: <br /> a) Name and addmss: <br /> b) Telephone No.: Fax No.(Opt.) <br /> 9. Exp'uation date of Notice of Commencement(the expuadon e is one year from the date of recording unless a different date is <br /> specified}: <br /> WARNING TO OWNER ANY PAYMENT5 MADE BY OWNER AFTER THE EXPIRATION OF'I�N�TICE OF <br /> COMMENCEMENT ARE CONSIDERED 1MPROPER PA S UNDER CHAPTER 713,PART 1,SECTION 713.13, <br /> FLORIDA STATUTES AND CAN RESULT IN YOUR PA G TWICE FOR IPBO�'F11�NTS TO YOUR PROPERTY.A <br /> NOTICE OF COMIVIENCEMENT MUST BE RECORDED POSTED ON TBE JOB SiTE BEFORE TH�FYRST <br /> INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENAER OR AN A'[i'ORNEY BEFORE <br /> COMiV�NCIIVG WORK OR RECORDING YOU NOTICE F COMMENCEMENT. <br /> STA7E OF FLORIDA � • ' <br /> COi3N'f'Y OF PAS00 , � <br /> 1 OF Owner or Owner's Awhomod O cMD'aecwr/Patmei/M�aga <br /> r ..S ✓�� <br /> ' Neme <br /> The foregoing instrument was ecknowledged before me this�day o Ci � 20�,by�/C.�'Y.��� �Y✓�L°.S <br /> � (type of suthority,e.g.o�ce,trustee,aKomey in fact)for <br /> (neme of p oa behalf of ho fnstrument was execu <br /> Personally Kaown_�R Produced Idemtification_ No Signariue ��� <br /> �1 ♦ <br /> Type of Ideatification Produced_t���5 ��'�``�" N e(print) � l �e. 0 $S <br /> VeriScation pursuant w Section 92.525,Florida Statuees.Under penalties f perjury,I declare that I have read the foregoing and thaz the facts stated <br /> in it are true to the best of my kaowledge and belief. •• . <br /> FOSDlSMOCMd7007 • <br /> � Sig�u ofNmaalPmonStignio�Above <br /> s��""(� JpCpUELIPIE BOGES <br /> PAULR S.0'NEIL.Ph.D PRSC� C K 5 Cai'IPTROLLER �: X Cpfif�S5I0fl��EO4�ZO <br /> 10%0�1 BK 10:39am i f3554 =��� ��erttbet 12,2014 <br /> 9091 p� � ��,�F�,��� <br />
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