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21-1588
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2021
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21-1588
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Last modified
5/9/2022 11:07:10 AM
Creation date
5/9/2022 11:07:09 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
21-1588
Building Department - Name
COLON,RAFEL & OROZCO
Address
7851 KAY MARIE AVE
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INSTR#2021177154 OR BK 10419 PG 3480 <br /> ' Page 1 of 1 <br /> 08/19/2021 04:02 PM Rcpt:2342071 Rea 10.00 DS:0.00 IT:0.00 <br /> t— <br /> rroTxc ;o�:corr�cr <br /> State of_F'ior,An County of <br /> THE UNDERSIGNED hereby-gives noticethat improvement.wi l be made to certainreai:propert , <br /> and in accordance with:Chapter 7'13,Flbrirla'StaEutes ttie:folln ing 3r�forination'is:provided; <br /> this,Notice of Commencement: <br /> : t <br /> 1. Description ofProperty: Parcel.No. nM C)n 3 g <br /> (Legal.descri tion of�the property:and street ad s if available) <br /> 2. General-Description-of Improvement <br /> j <br /> 3. Owner Information: Name n t-Address �\ r 1 C YV�C» QV�Y � <br /> te-- E"l � <br /> Interest in Property: 1 �3 <br /> p 'hid:z;-�ti ot•,o °y.> <br /> Name of Fee Simple:TStleholder: i � �"� 4 ,,�:' � ,,A+ ��, m `♦\ <br /> ,(If other than owner) <br /> Address. K, <br /> City i State <br /> r ' <br /> 4: Contractor:.Name lie <br /> Address 4AAL; `1 e(-e SG )ed City State F l <br /> 5. Surety:Name I <br /> Address ' City State o <br /> i v <br /> Amount of Bond: $ i v C tU cn o <br /> 6. Lender:.Name C a � o <br /> U IV <br /> t I o . N w <br /> Address City State a+ •� �, <br /> 7. Persons-within the:State of Florida;designateddby Owner.upo ..whom.notices or other 1 a 0 a <br /> documents may':be-served,as provided?by:.>Saction'713.13('1)'(a).(7};:Florida<Statutes: i Q � ° 8 "' @ <br /> cao � m aia <br /> � L U C? L <br /> Name <br /> � c ooli <br /> I � i � Q L a � T <br /> Address City I State o co <br /> 8. In addition to himself,Owner designates co (U � ¢ o <br /> of to receive a c py of the:Lienor's:Natice as 2 Y T <br /> pravided.in Section 71°3.13(1),.(b),Florida°Statutes. " i <br /> I <br /> g -F piratien date of-Notice o£Co�uc&�nt(tbe.expiratian.Uate is i year from the'date <br /> of recording unless.a different.date:is:;speaMed.) <br /> Signature of Owne �'�' <br /> Sworn to,and-.subscribed before me this day of Z�c <br /> Notary Public: <br /> wy Commission-Expires: <br /> 20930530481A WMAJENE BLACK <br /> MY COMMISSION#GO 347465 <br /> EXPIRES:OcWW20,2023 <br /> + '•;7,gr.?,",• ..-WThm Notary Pu111-U1111-t - <br /> i <br /> f <br />
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