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10-10564
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10-10564
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Last modified
2/2/2011 9:25:01 AM
Creation date
2/2/2011 9:24:59 AM
Metadata
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Template:
Building Department
Company Name
OUR SAVIOUR LUTHERN CHURCH
Building Department - Doc Type
Permit
Permit #
10-10564
Building Department - Name
OUR SAVIOUR LUTHERN CHURCH
Address
5626 20TH ST
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Legal DescrIptUOn <br /> :2- 26- 21- 0020.00400 -01 I <br /> • in SecUOn i2 ,n 76 Su Range 21 East <br /> assessed <br /> pt PaSCO Tow County, ship F i 1 <br /> Yi BLO ITIO EXC W EST S T EF oM.4 PB P54 16 LOTS 11 THRU 2G <br /> NOTICE OF COMMENCEMENT <br /> Permit No <br /> Property Identification No f . Z C Z.1 C- ZC 0C400 CAW <br /> THE UNDERSIGNED hereby give informs you that the improvement will he made to certain real property, and in accordance with <br /> Section 713 13 of the Honda Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> I I )cscription of property (legal d e s c r i p t i o n : ) - -_ -- - - E 147 1 C <br /> al Street Address 5 11 Z ( u )-e art _ 1 . . Zc �l{ _,� 5 1 - _ C E3 - - - <br /> 2 General description of improvements Tiv-t IT} Lt. fi77O-t 0 f ! !( rr 41 : :: 7\ 1 S 7 !I 4-- - <br /> i ( )w eer Information <br /> a) N,tme and address C (l tl 5 A t Cl„( I' - Ld (7 I(. if-IA C. if L.1 V 1 i f 5 67 Z L_ Z L r l-f <br /> hl Name and address of tee simple titleholder ( ifother than owner i <br /> c) Interest in property <br /> 4 Contractor Information - <br /> a) Name and address St - L (e rt , F (Y fife 22 5' [f 51L4 LE `/ O 1+ (: 1 Ft j( -2 I t C S C4 L� (.1 -1 1Q . L r • <br /> hl Telephone No b I 6 7c.' 9 7 7 - - - 1-,is No tOpt 1 E 't E S " (. ' _7> <br /> Surety Information - - -- - " -- <br /> a) Name and address <br /> h) Amount 01 Bond <br /> cl lelephoneNo Fax No ((Opt 1 <br /> - -- — - -- -- <br /> h 1 ender <br /> a) Name and address <br /> Phone No -- / <br /> 7 Identity of person w ithm the.S�tate of iortdat latee r ot%ner upon ho not or other d s may hl. sc ed / t / , ( 3 <br /> a) Name and addresl f) J n 1 1 T m uu e. <br /> / Iq j t Z D OS� „, 6 '! � 'A/ j� 7 l <br /> I)) Telephone No 3 - ?cf. _ ? 2? Fav No (Opt 1 <br /> 8 In addition to himself; owner designates the tnllos n g person to receive a copy of the Lrenor's Notice as provided in Section <br /> 713 1.-it 185). Florida Statutes <br /> a) Name and address <br /> hl telephone No _ l-as No (Opt 1 <br /> 9 Iapiratlon date of Notice of Commencement (the espiranon date is one sear from the date of recording unless a different date is <br /> specified) -- -- — — <br /> WARNING TO OWNER: ANN PAN MEN1 S \LADE 111 THE OWNER .AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS l NDE:R CHAPTER 713, PART 1, SECTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT 1'O1 R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPEKI'1". <br /> A NOTICE OF COMMENCE :MENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING. CONSI 1.T 1 OCR LENDER OR AN ATTORNEY BEFORE: <br /> COMMENCING WORK OR RECORDING l 01 R \OTI( E: ( - COMMENCEMENT. <br /> • <br /> S I UTE OF FLORIDA / c <br /> COUNT OF PAS I ._.. 2 6 O ..._ - _.---- - -- -- -- - / - e JJ -�•`� �� <br /> Sienanue , 111, 1 - ur u.wei Authorized 4)Ricer t)irectot Partner Manager <br /> P.M N.III1C <br /> [he foregoing Instrument w l d <br /> as acknow'ed hetorc ;rte this � Jan of IA-A) C - - - 2(1 0 O . by <br /> 1 41. 1__L�. e �_ �_! __ as Q GE le (tspe of authority, e.g officer. trustee. attorney <br /> in fact) torOU.R 5A//fig. f.) (native of patty on hchalfof whom instrument w - eve fed) <br /> Personally Known OR Produced Identification Notary Signature - - <br /> 1 - v pe of Identification Produced -- -- Name (print/ AIR JN el -- A. <br /> Verification pursuant to Section 92 525 Florida Statutes l (rider penalties of pepur.. I declare that I have read the li regoing and that <br /> the farts stated in it are true to the hest of my kno..kdge and belief <br /> ¢u 11 1 I '.nin.J I'etaon Stems!, Alx'se <br /> �JCMS /NVC, Wd ,H' <br /> q tr Nit, Notary Public State of Florida . <br /> Nancy A Souder <br /> • My Commission DD953804 <br /> o nS Expires 01/1912014 <br />
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