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10-10684
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10-10684
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Last modified
2/3/2011 11:38:01 AM
Creation date
2/3/2011 11:37:59 AM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
10-10684
Building Department - Name
KLINE,DAVID & HEATHER
Address
39101 3RD AVE
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• <br /> 11111 1111111111111111311 IN 111111111111111111 <br /> 2010096275 <br /> Rept:1314246 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 07/06/10 K. Garcia, Doty Clerk <br /> NOTICE OF COMMENCEMENT <br /> PAULA S.O'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER <br /> Permit No. 07/R BK 830 pG c '396 <br /> Property Identification No. t pl I - 0 coo - o qtco O —C)0C <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 follo information is provided in this NOTICE O COMMENCEMENT <br /> CO Wk �� Sw 0 � SCX.4 tel../ Pr ®F Swat(.( o FNw 1 4 o FScvNo <br /> 1.Description of property (legal description: CC , T e �>g • 1114, 11' 50 di <br /> a) Street Address: • r t , � , r •L!a( �r NQ <br /> 2.Gerplal �f improvements: <br /> 3.Owner Information =- pp <br /> a) Name and addressb(U4 `-14 '�1`Q4' - � -t 1. Q 'C\ IO t ) y Cam— C_ " I — _ '1/ �llS <br /> t�'v7 <br /> b).Name and address of fee simple titleholder (if other than owner) l r9s?..! <br /> c) Interest in property <br /> 4.Contractor Information <br /> a) Name and address: f t 4y4 1 P‘1.1 36 ( 4( SJ ,/ llfS <br /> b) Telephone No.: `r Fax No (Opt.) <br /> 5.Surety Information <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 WORK' OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA' • JL, <br /> COUNTY OF PACO '"'�: u W N, rc 1 d a ( - <br /> r Ch ,s, ; . Signature o Cwner or Owner's Authorized Officer/Director/P <br /> 114* Officer/Director/Partner/Manager <br /> Print Name <br /> The foregoing instrtirhent was aclaiowledged before me this clay of 5j . 2010 by <br /> as <br /> in fact) for (type of authority, e.g, officer, trustee, attorney <br /> (name of party on behalf of whom ins uteri). <br /> Personally Known OR Produced Identification f Notai y Signatu <br /> Type of Identification Produced L Name (print) CANT -" R <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 best of my knowledge and belief. <br /> • Notary Public State of Florida <br /> Signature nahneofNalur al Person Signing Above <br /> (3hristian Ryrrlan g <br /> r, �� .My Commission 0D751610 <br /> " n _ o Expires 01/24/2012 <br /> • r <br />
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