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10-10284
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10-10284
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Last modified
1/27/2011 3:47:52 PM
Creation date
1/27/2011 3:47:50 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10284
Building Department - Name
SHOULTS,DORIS
Address
6220 10TH ST
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1111111 11111 1111111111 11111 11111 11111 11111 11111 11111 111111 11 <br /> 2010040325 <br /> Rcpt:1295700 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 03/24/10 C. C, <br /> NOTICE OF COMMENCEMENT Paul q S. o'NEIL, PPSCO ook CLE & COMPTROLLER <br /> 03/24/10 01:02 m 1 of 1 <br /> G 1094 <br /> / 0 2 OR BK 8Z4 P <br /> Permit No. / 7 <br /> Property Identification No. L- ' Z(o -- 24 - 0a30.- GC'Z06 0 Z <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 /> f01.Description of property (legal description:) .Ic 0 a2 aaaka1, t ,l/s .'Lnroc7..W- it 1 S.t- 02/ <br /> a) Street Address: /o R74 /6 <br /> . <br /> 2.General description of improvements: 6 6 iL,rri,crua-v <br /> 3.Owner Information � <br /> a) Name and address: ' 1 -� / <br /> b) Name and address of ee simple titleholder (if other than owner) .Cal ' + Z'�TP'1� " <br /> c) Interest in property 3)f3 - 7t4 --/ <br /> 4.8 ntractor Information • <br /> a) Name and address: ssLti Gt . e44 1uiv <br /> b) Telephone No.: Fax No. (Opt.) <br /> 5.Stty Information <br /> a) Name and address: . <br /> b) Amount of Bond: ' <br /> c) Telephone No.: Fax No. (Opt.) <br /> 6.Letlder <br /> a) Name and address: <br /> t 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 /> Name and address: - E. <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.: c- 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 /> • <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 /> , <br /> STATE OF FLORIDA W <br /> COUNTY OF t ASCO 1p OZ`-!/ , 7 . A Q — U W <br /> SS_ of Owner or Owner's Au OffixdnirectorIPwtner/Manager W N J LU <br /> a., Dote, s L. 6 a 47`s- o m u_ _ J U <br /> Print Name � Z U O w F- '. 0 Y <br /> The foregoing instrument was acknowledged before me this 2 day of Mei C 20/0 by \ 1 a- C 0 O p - - N a , i v <br /> as t (type of authority, e.g. officer, trustee, atto ey LL LLI, 0,1) O - a l <br /> in fact) for (name of party on behalf . ' • om instrument was ex / r . O Q O <br /> Personally Known OR Produced Identification ■ Notary Signa /wit Z ' O O L 0 <br /> CCC��� �' 1- ->-u- y <br /> (,:k• o <br /> s /i O: 1- Ec , . <br /> Type of Identification Produced Name (print) ' A L L C 5 _ ' 0 = U , <br /> 0' <F- F--...a�t 1 j � -i <br /> p• >- Ump LL + <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of per A{ t l > 'egoing and that OC � 0 , Q O , <br /> the facts stated in it are true to the best of my knowledge and belief. •= Omm� ission DD 621833 O 'cc rx u. Z n Z ri, , <br /> • 'P Expires December 12, 2010 LL v V 0 ...._ 0 <br /> ' fir; Bonded Thu Troy Fain Inasenoe 800385.7018 <br /> Signature of Natural Person Signing Above 0 1— ZN� // ' ((( � /// 5 ') , <br /> FORMSINOC,rva� w 007 to < -1 t <br /> _ ' <br /> I— W tL Z _ , ' <br /> h = OC Z - Q >- (n I— I— 0 s d CO <br />
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