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09-9579
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09-9579
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Last modified
1/7/2011 2:40:40 PM
Creation date
1/7/2011 2:40:38 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9579
Building Department - Name
FIELDS, ROBERT & EILEEN
Address
38607 4TH AVE
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111111111111 11111111111111111111 11111!1!ll 111111!!u iii! 1111 <br /> 2009138253 <br /> Rcpt:1265546 Rec: 10.00 <br /> DS: 0.00 .IT: 0.00 <br /> 09/28/09 . - - -- _ Dpty Clerk <br /> NOTICE OF COMMENCEMENT <br /> PAULA S. O'NEIL, � 1 P CLERK &COMPTROLLER <br /> 09/28 81 ( PG' 16 48 <br /> Permit No. <br /> Property Identification No. II - 2-G - 7A - 0010- /6q00 -- 0 ( 6a <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and m accordance with <br /> Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> \` i <br /> 1.Descr i o CCit Z rh i►IS t I I PE $ t FT L.O S $'S. GO OF Ss: OO S <br /> p propert (l e�al description :) 1. [[ • I.° 6 : :1 . l& 7S <br /> a) Street Address ' O 4 /141 a U R_ 2-..t - \ -h iI . .tea <br /> 2.Gen 1 descriptionRRf improvements: t <br /> 3.Owner Information <br /> a) Name and addressc : 4) 4, N 1- cft (.2 C rt tpIclS 3 ;6•?s3 G GA_ G `o—h 1E15 <br /> b) Name and address of fee simple titleholder (if other than owner) 5S (o. <br /> c) Interest in property <br /> 4.Contractor Information � <br /> t a) Name and address:F1Ivt ( K�Sv - Tye 364t3 5 f . S `i 'J IS 33S <br /> b) Telephone No.: 11 g �� <br /> 5.Surety Information Fax No. (Opt.) <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No. (Opt.) <br /> 6. Lender <br /> a) Name and address: <br /> Phone No. <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: <br /> a) Name and address: <br /> b) Telephone No.: Fax No. (Opt.) <br /> 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b), Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: . Fax No. (Opt.) <br /> 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is <br /> specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WO ; 0 ! ; ,r - CORDING YOUR NOTICE OF COMMENCEMENT. <br /> w <br /> STATE OF FL01�11 : � 1 � 1 ` , , <br /> COU OF P 9+ w . *Y' ,. / <br /> ' ` i , e ke ` ' nblic State of Florida � 1 AM • —4 ' Adill <br /> 4 .- Z v. ; ' Ryman ature of Owner o O er's Authorized Officer/Director/Partner/Manager Q... 4 '4 a .mmiasion DD751610 e e �� 7' r. <br /> 4+a •ices 01/24/2012 /` / AT � l� <br /> n : il • Qr y��}� Print Name <br /> The fogoi <br /> �� r - e • n' n t watrack�ta�A+led day f, ,,,,4 — , 2001 , by ilk Ob <br /> /Y f"1 p► , ,, � . � ` �o�� .me thiso�� da o <br /> : a§ �'``� <br /> (type of authority, <br /> in fact) for (hP ty, e•g, officer, trustee, attorney <br /> ., , . • (name of party on behalf of whom • ment was _executed). <br /> Personally Known IVOR Produced Identification Notary Signature <br /> Type of Identification Produced Name (print) r-I3A jct., <br /> • <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that <br /> the facts stated in it are true to the best of my knowledge and belief. <br /> 7 7 c <br /> FORMS /NOC,rvsd2007 Sign ure of Natural Person Si g Above eritzty e_-‘,/ <br /> • <br />
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