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04-3021
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04-3021
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Last modified
3/6/2009 3:24:50 PM
Creation date
1/25/2007 12:08:24 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
04-3021
Building Department - Name
HABER,TED
Address
5829 12TH ST
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<br />I <br />PL 365dil <br /> <br />NOTICE OF COMMENCEMENT <br />State of --I::1 0 l{ l dCi - County of (1 S (j) <br /> <br />THE UNDERSIGNED hereby gives notice lhat improvement wi II be made to certai n real propel1y, <br />and in accordance with Chapter 713, Florida Statutes, the following information is provided in <br />this Notice of Commencement <br /> <br /> <br />1. Description of Property: Parcel No. <br />C,<) "'7 q . 'lW S:.L. <br />Q () ,;7\ I l."", -:'I ( I ,} ~ <br />(Legal description of the <br /> <br />2. General Description of Improvemenl <br /> <br />Interest in Property: <br /> <br /> <br />State <br /> <br />FL c -J-;;S-t(C-' <br /> <br />3. Owner Information: Name -reel <br />Address \5C6:~,q I~fi ~Sfre0t- City <br /> <br />o tUner <br />SLl V'n-€- <br /> <br />Name of Fee Simple Titleholder: <br />(If other than owner) <br /> <br />.~,:&: ""~ <br /> <br />Address <br /> <br />Address <br /> <br />City <br />Hi / Is (['-hy;H/X;:hiJ" <br />13Lfifr:7 uS 3D I_City 1),1, Cukf=s...e <br />(. <br /> <br />State <br /> <br />4. Contractor: Name <br /> <br />5. Surety: Name <br />Address <br /> <br />City <br /> <br />Slate <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 Slate of Florida designated by Owner upon whom notices or other <br />documents may be served as provided by Section 713.13 (1).(a) (7), Florida Statutes: <br /> <br />Name <br /> <br />Address <br /> <br />Cily <br /> <br />S lale <br /> <br />8. In addition to himself, Owner designates <br /> <br />of to receive a copy of the Lienor's Notice as <br />provided in Section 713.13 (I) (b), Florida Statutes. <br /> <br />9_ Expiration date of NOlice of Commencement (the expiration dale is I year fromlhe dale <br />of recording unless a different d.lle is specilied.) <br /> <br />Signalure of Owner: <br /> <br />.L0.(:". ,:L.. { I <br />OJ,to <1"'- <br /> <br />./ <br /> <br />~ ,)/~~'~:~<->'. I <br /> <br />,;.,// <br />, <br /> <br />Hprr I ' <br /> <br /> <br />.20.J2!i <br /> <br />day of <br /> <br />Notary Public: <br /> <br />\,\\1'/1/. <br />'O"'\..'.~(/ <br />;:~'~'.:":~ Com,mission #DD157131 <br />~'!l'. ~I:...: Rxpmt~. No" 15 2QQ6 <br />-',;;i oiFcc,J}' Bonded Thru' <br />. '" """ Atlantic Bonding Co., Inc. <br /> <br />My Commission Expires: <br />PC93053048/A <br /> <br />N= <br />s= <br />s= <br />"..= <br />s___ <br />.....= <br />01= <br />N== <br />(D- <br />Ol- <br />- <br />- <br />- <br />- <br />- <br />- <br />~ <br />=== <br />--- <br />--- <br />--- <br /> <br />- <br /> <br />--- <br />~ <br /> <br />CSl C::lIlI <br />.. UtO <br />........'U <br />N ,.. <br />.... CSl .. <br />...... s..... <br />CSl CSl..... <br />.. ..... <br />N <br />.. <br />Co>> <br /> <br />::lIlI <br />..... <br />-fO <br /> <br />CSlo) <br />c. . <br />'0 CSl CSl <br />:; CSl CSl <br /> <br />n <br />- <br />It <br />., <br />~ <br /> <br />o~ <br />::a '0 <br />OJ ~"1J <br />~ ,.... <br />CSl-f <br />(JI"";: <br />~..>> <br />""".....z <br />N.. <br />(JI~ <br />11/(1) <br />30 <br />o <br />"1J "0 <br />Cl 0 <br />C <br />Z <br />....o-f <br />cg""-< <br />o <br />(JJ..r- <br />Nm <br />~ <br />
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