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09-9294
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09-9294
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Last modified
1/14/2011 10:48:59 AM
Creation date
1/14/2011 10:48:56 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
09-9294
Building Department - Name
HAITI INVESTMENTS I LLC
Address
6836 MEDICAL VIEW LN
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iiiiiii$11hill1111NIi IhilliI iI EIW <br /> • 2009088789 <br /> STATE OF FLORIDA, COUNTY 4ROA <br /> THIS IS TO CERTIFY THAT THE FO[ EGOJN'e ` ' P �\ Rcpt 1250544 R ec C TRUE AND CORRECT COPY OF THE DO ~ 1 s\ DS: . pt0 Clerk <br /> ON FILE OR OF PUBLI ECORD IN 7 HIS"OFFICE 06/26/09 <br /> Vy,IT E S MY HAND OFFICIAL SEALTH <br /> / / DAY OF ∎fii. .�.v ' 2 ('`� PRULR S. O'NEIL, PRSGO GLERK 6 GOI'IPTROLLER <br /> ULA S. \•' EIL, CL: RK & C•Mfa'f'ROO L 06/2609 1 :0 A 1 PG af g n <br /> OR BK 8 i (� <br /> EY _ ; rG■ �� �'?' l)TY CLERK' <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. 0 2- a 6-dl- 0 2,9 0 - 00000 - 0 02 O <br /> THE UNDERSIGNED hereby give informs you that 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 /> 1.Description of property (legal descrlpdon:) t) a u Ro ai PC t e SS I On'. �e4 4.e,+ Tr <br /> a) Street Address: (4013(v Me ;co.. v . y i_n 1�6 S� P4- 02 L p } 2 <br /> 2.General description of improvements: _„ ; a h u ; l d_ kit \s S F L 3 3 S y Z <br /> 3.Owner Information '1 <br /> a) Name and address: l-k. TAJC S4 "CA} S T LLC. 3 g g i 9 0-1-. s #I(2.n RA Zepti t(s FL <br /> b) Name and address of fee simple titleholder (if other than owner) <br /> c) Interest in property 3 5'10 <br /> 4.Centracter Infonitatlon <br /> a) Name and address: IZ Lo„ s it r 4 c , <br /> b) Telephone No.: - 7 2- p 2 f Fax Opt.) $ Q � �; �� 5 �L 3 �y 1 <br /> .Surety Information Fax No. (Opt.) g g - 411 <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: <br /> 6.Lender Fax No. (Opt.) <br /> a) Name and address: <br /> Phone o. <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 WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Si ature of weer or Owner's Autho d O cer/Director/Partner/Manager <br /> flL Pr int <br /> ,<J <br /> Th instrument was acknowledged before me this _ day of �krn ' Q , 20 0 , by Ak IS o <br /> � <br /> ar‘ <br /> (type of authority, g <br /> in fact) for t4 ii 4-; �� ve_f -1-�+P„A-1-f � LLC (name of (• .* ty, e. officer, stee, attorney <br /> ( party on behalf of w • � instrument was execute. . <br /> Personally nown / - <br /> Y V OR Produced Identification Notary Signature lakr / <br /> Type of Identification Produced Name (print) - o y l . p • ./N <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of per' , 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 /> FORMS/NOC,rvsd2007 Srg o atural Person Signing Abov <br /> O1tY pv ¢ _ Notary Public State of Florida <br /> Bobbie J Knight <br /> My Commsio 00 <br /> oea Expires 03/3 n 764225 <br /> • <br />
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