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09-9881
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2009
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09-9881
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Last modified
1/11/2011 9:14:17 AM
Creation date
1/11/2011 9:14:15 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9881
Building Department - Name
GOLDNER,DONNA
Address
5342 5346 16TH ST
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1111111 11111 11111 11111 11111111111111111111 11111 1111 1111 <br /> NOTICE OF COMMENCEMENT 2009178519 <br /> ?ermit No. Rept : 1278057 Rec : 10.00 <br /> Tax Folio No. DS : 0.00 IT: 0.00 <br /> P144 .eL � 1t . 4.I 0010- 119.60 12/14/09 Dpty Clerk <br /> THE UNDERSIGNED hereby give informs you hat the improvement will be made to certain real property, and in accordance with <br /> Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> 2ephyr <br /> 1.Description of property (legal description:) Per , • I ,Sv F 7 F �-o - / ,D e /ocK / 7 � <br /> � 1 5, r , <br /> a) Street Address: 5 3 '42 hl-' .5 9 4,1 t l b rk s i 2 � h y f h /� . , 35 e <br /> 2.General description of improvements: Ale co 1/ -Da.65 .s t <br /> 3.Owner Information <br /> a) Name and address: amul G1o('QKet. Io 2t R$cP 121A. keldo M I U4ct331-Se0 <br /> b) Name and address of fee simple titleholder (if other than owner) D <br /> c) Interest in property <br /> 4.Contractor Information W a' <br /> F <br /> - � <br /> a Name and address: .� S <br /> 7C m <br /> b Telephone No.: K � ��i J •3//G, P0.1X bc.►� �6(p' f 2eekr41, i �� J ►�C. 33 s3� ��M <br /> P f�h9[h �J.3 �i f - 1C� ax No. (Opt) S �4 NtE r <br /> 5.Surety Information <br /> a) Name and address: t <br /> b) Amount of Bond: <br /> 6.Lenderc) Telephone No.: Fax No. (Opt.) , m <br /> v a) <br /> a) Name and address: <br /> 4 <br /> Phone No. • e-1 3 <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: <br /> limb - 73 <br /> a) Name and address: o <br /> b) Telephone No.: Fax No. (Opt.) m <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 T 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 /> COMMENCEING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA t� <br /> COUNTY OF PINELLAS t / , A d [O <br /> Signature of Owner or Owner} thorized Officer/Director /Partner /Manager <br /> • <br /> Print Name <br /> The foregoing instrument was acknowledged before me this O day of IN, F. , 20 O , by <br /> as (type of authority, e.g. officer, trustee, attorney <br /> in fact) for (name of party on behalf of whom instrument was executed). <br /> Personally Known OR Produced Identification X Notary Signature A • , <br /> , � o M <br /> Type of identification produced }' L . t�. L •k Name (print) ' , 4` �'►` �J ' DERBY <br /> :TS 2 Sc1 Rp Ex ��. 3 -- g o -� �a"!_,�. - MY Comm. Expires Oct 12, 2012 <br /> Commission I OD 830494 <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties erjury, I declare that . _ <br /> the facts stated in it are true to the best of my knowledge and belief. <br /> FpRMStNOC,nistl2067 /nature of Natural Person Sigpin Above <br />
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