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07-6589
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07-6589
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Last modified
3/6/2009 4:35:35 PM
Creation date
6/26/2007 11:36:40 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
07-6589
Building Department - Name
GOEN,BOB
Address
6132 HARRIET ST
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<br />NOTICE ,OF o OMMEN CEMENT <br /> <br />1111111111111111I1111I1111111111111I1111I1111111111111111111 <br />2007056236 <br /> <br />State of <br /> <br />~\ r-,.r\~4- <br /> <br />County of <br /> <br />? l:>.~ r: 0 <br /> <br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, <br />and in accordance with Chapter 713, Florida Statutes, the following information is provided in <br />this Notice of Commencement: <br /> <br />1. Description of Property: ParcelNo. 03-~(,,;,-dl -()rl\O- 00000 -0250 <br /> <br />19 Coo <br />wm <br />o,c <br />::ON <br />U)'U <br />m,.... <br />,.;: 19-f <br />~-f <br />--J 19~ <br />.c::. ~~ <br />.c::. ~'U <br />.. '\"0 :I) <br />."3 en <br />o <br />o <br />... <br />'U 0 <br />a 0 <br />oC: <br />..... ~ !i <br />..... ...-< <br />wP <br />U)~ <br />,.;: <br /> <br /> <br />2. General Description of Improvement <br /> <br />3. Owner Information: Name Robe.\- <br /> <br />Address 10\ 3&.. 1--\ 0(".,12..+ 9- <br /> <br />Interest in Property: <br /> <br />Name of Fee Simple Titleholder: <br />(If other than owner) <br /> <br />Address <br /> <br />&o,,"ns <br /> <br />City ";?~f''''u", h\ \ \.<:.. <br /> <br />State FL- .130-~ 1.., <br /> <br />State <br /> <br />City <br /> <br />4. Contractor: Name \-\ hYY'v::> Df fJ~'f"\Q.-r <br /> Address <br />5. Surety: Name <br /> Address <br /> Amount of Bond: $ <br />6. Lender: Name <br /> <br />State <br /> <br />City <br /> <br />State <br /> <br />City <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />7. Persons within the State 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 />City <br /> <br />State <br /> <br />8. In addition to himself, Owner designates <br /> <br />of. . .. to receive a copy of the Lienor's Notice as <br />provIded 10 SectIon 713.13 (1) (b), Florida Statutes. <br /> <br />9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date <br />of recording unless a different date is specified.) <br /> <br />19 C ::0 <br />wen n <br />," "0 <br />rgl9:' <br />'19.... <br />!:3l9m <br />en <br />(lO <br />(lO <br />en <br /> <br />::0 <br />...... <br />-fn <br /> <br />019.... <br />'" 19 <br />... 19 . <br />,<1919 <br />o 19 <br />... <br />ftI <br />-. <br />~ <br /> <br />,signature of Owner: <br /> <br />FL <br />7)L # G -5)O~1'7:J.- 35~4S;)-O <br />, 20.Q1.. <br /> <br /> <br />Notary Public: <br /> <br />My Commission Expires: <br />" <br />PC930!s3Q481 A <br /> <br />#!", SUSAN S. MANION <br />~~ MY COMMISSION # DD3SS121 <br />~ EXPIRES: September 13,2008 <br />1 "" F1.N~I)j_I-'€o. <br />
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