Laserfiche WebLink
AFFIDAVIT <br /> Permit Number: Tax Folio Number: <br /> Property Address: all P �-VYX 157� Zt.py):�9 r h1� 3350 e`er <br /> STATE OF FLORIDA <br /> COUNTY OF <br /> Before me,'the undersigned authority, duly authorized to take acknowledgments and administer <br /> oaths,personally appeared 1r � LM . (hereinafterAffiant), <br /> who after being duly sworn, deposes and say : <br /> ".1. Affiant is the (check one): Owner ofthe above described property; <br /> the Owner's Authorized Agent <br /> 2. A Notice of Commencement, as required pursuant to Section 713.13 of the <br /> Florida Statutes,has been filed for recording in the official public records of <br /> County, Florida, as it relates to improvements to be made to <br /> that certain real property described herein. <br /> 3. A copy of said recorded Notice of Commencement is attached hereto. <br /> Affiant Signature: <br /> Print Name: <br /> Sworn to and subscribed before me on this_H.day of Ltti , 20 j <br /> b J�11 r <br /> Y `( ,who is personally known to me or has produced <br /> i <br /> 1 Y---s ep, as identification. <br /> C�sZ-�q�- <br /> Notary Public Signature: <br /> &Y-V, <br /> Print Name: U4 d <br /> Rey Commission.Expires: <br /> f <br /> N . <br /> �r��.f�, oeac fcr:ires _ <br />