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02-1074
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02-1074
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Last modified
3/6/2009 2:56:03 PM
Creation date
11/7/2006 9:22:14 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
02-1074
Building Department - Name
SHILLINGLAW,BEVERLY
Address
4824 19TH ST
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<br />I' -' <br /> <br />1111111 11111 1111I11111 11111 1111111I1111111 111111111111111111 <br />2002038281 . <br />IfO"l'ICB OP COMIIBIICIIIIBft 0 O. 0 <br /> <br />State of ~ /Z/'t:~. County of H:5CD <br /> <br />~UB UNOERSIbiMBD hereby gives notice that improvement will be made to c3rtain <br />real prooerty, and in accordance with Chapter 713, Florida 'Statutes, the <br />following information is provided in this Notice of C~mmenccmcnt: <br /> <br />1. Description of Property: Parcel No. ~y -~ t. - 21-1J~t!.:.6-(t?oa(l-lJ/?S--' <br /> <br />(Legal description of the property and street address if available) <br />General Description of Improvement f/J(p~r -ArY- <br /> <br />2. <br /> <br />Rcpt: !572126 <br />DS: 0.00 <br />03/11/02 <br /> <br />Rec: 6.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />Address . <br /> <br /> <br />3. Owner Information: Name <br /> <br />Interest in Property: <br /> <br />Name of Fee Simple Titleholder: <br />(If other th~n owner) <br /> <br />~f!B1~~~~MA:2:=:S;O fOUN~~ C\ERK <br />OR BK 4884 PG 155 <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />......ri:,,1: 4 <br />~r · <br />II <br /> <br />Contractor: 'Name 14/t!J 2 <br />Address f {), ~o}/ /72- <br /> <br />!IJ 11.1 VJ1 <br />City z- 1I-IIIs <br /> <br />State .~ <br />' 53 39-Ml.-- <br /> <br />5. <br /> <br />Surety: Nilme <br /> <br />~ddress <br /> <br />City <br /> <br />Stat.a <br /> <br />Amount of Bond: $ <br /> <br />6 . Lender: Name <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />7. Persons within the State of Florida designated by Owner upon whom <br />notices or other documents may be served as provided by Section <br />713.13(1)(a)(7), Florida Statutes: <br /> <br />Name <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />8. In addition to himself, Owner designates <br /> <br />of to receive a copy of the <br />Lienor's Notice as provided in Section 7l3.l3(1)(b), Florida Statutes. <br /> <br />9. F.xplrllt,.ion dftt.e ot }'Clt.lce ot CODlmencement. (the explratlC1n d:lte is 1 yeiar <br />fr~m the date of recording unless a different date is specified.) <br /> <br />f signa:ure Qf Owner:~)~ yb~(f ~ <br /> <br />Sworn to and sUbscr2 before me this ~ day of ..Y'/"I1iv'-Y1 <br />Hf ~OO~. ?rooLuQJl.d <br />\ Notary Public: &-o--~iG.. lJb(jl~ <br />My Commission Expires: --1l Fl::b I ~C()(P <br /> <br />I <br /> <br />Dr, .Jef--5 <br />L\ cens.e . <br /> <br />PC93053048 <br /> <br />~ llIlCN MIIoN IIlIu P8Puog <br />900e H NenJqe:j:S3~'dX3 .... <br />S9S06o 00' NOISSlViWOO AVi t.€ :-1 <br />NIMCJ1Vrj V1lM'rVNNV ~~ ~ <br />.,...~~ ""'''' <br /> <br /> <br /> <br />~~:'N:!.'''_ ~. <br />~~.o~ :~~ ANNA-MARIA BALDWrN <br />i*€ :"i MY COMMISSION' DO 090B65 <br />EXPIRES: FebnJary 11 2006 <br />Bonded Tlwu Nofoty PtUi: unci.n.nre.. <br />
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