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10-10783
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10-10783
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Last modified
2/7/2011 9:56:20 AM
Creation date
2/7/2011 9:56:16 AM
Metadata
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Template:
Building Department
Company Name
WALGREENS
Building Department - Doc Type
Permit
Permit #
10-10783
Building Department - Name
WALGREENS
Address
6429 GALL BLVD
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,4' J' " �` ;4 Illllllllllllllllllllllllllllllllillllllllllllllllllllllllll <br /> NM 1 it I. V I - ((MI \t !•.111• N i 2010110566 <br /> Rcpt.: 1318874 Rec: 10.00 <br /> Permit No. DS: 0.00 IT: 0.00 <br /> Tax Folio No.t(3_ U_21_60 0 COW() £)b3 08/03/10 K. Garcia, Doty Clerk <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section <br /> 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> [Description of property (legal dercriptrion : , Pr , Y PG t, a.biz. t (4 3, q' -t L - C;t5 /S � 8 <br /> a ) S t r e e t ( j o b ) Address: L L I � y eph 1r . 4 l I F .1 �3 i5_YL_ <br /> 2.Generai description of improvements: cl l J <br /> 3.Ownex Information ,J — - - --- - -- - <br /> a) Name and address: I • II ' a AN . r It ii . s V i , r ii. 1ict,T2 QetA e f f 1 r 1.1 &' (}Q 15 - 921 <br /> b) Name and address of fee s • k titl - older (if other than owner) `° ` � `= <br /> c) Interest in property <br /> 4.Connaotor Infionmation fy,1-F - • i f / e Cr a 0 r 6 Sty - re. 3 7 7 77 <br /> e <br /> a Nerve and address • - f) <br /> . / /f %IIii41/a. a ..awr r��a.∎ -..�. -- go *IY lit w <br /> (Old) <br /> b) Telephone; No.: -- ;,.,.ra ��!. Fax No. -- - <br /> S.Su ety Information _ -- 5 Y/ - S 3 <br /> - = a) Name and *deem <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No. (Opt) <br /> 6dendetr <br /> a) Name and addresc <br /> Phone No. <br /> 7. Identity amnion w the State of Florida designated by owner upon whom notices or other documents may be served: a n D <br /> within <br /> a) Name and address: As o n <br /> b) Telephone No.: Fax No. (Opt.) _ oo w `o <br /> 8.ln addition to himself owner designates the following peraoa to receive a copy of the Lienor's Notice as provided in Section m z <br /> o - 713.13(1)(b ),Fled &Sheri: m 03 2 a) Name and address: <br /> . 5 f�^ b) Telephone ne No.. Fax No. (Opt-) cm b <br /> J 9. date ofNance of (the expiration date ho one par Sae data of reeor�diag anions a different date rev <br /> L _u I — o <br /> y C <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER Tux EXPIRATION OF THE NOTICE OF <br /> s Alit! U E TED IMPROPER PAYMENTS au= [.SA n= 713, PART 1, SECTION 713`13, -' <br /> 3 t FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYDIG TWK5 POOR 10 YOUR PROPERTY. N <br /> \, A NOTICE OF MUST BE RECORDED AND POSTED ON 1BE JOB SITE BEFORE THE FIRST w 3 <br /> ` <br /> , DencI JN. 17 YOU IN/MD 1t0 OBTAIN FINANCING, CONSULT YOUR TINDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. o <br /> Y r 3 ... ) STATE ORNUOIDA m <br /> COUNTY Or ‘ A. 10. C- C -C, ' /ct �ti., <br /> IX . <br /> s' Owneror Owner's Aiabart —a <br /> '5'i�/ o ( t I V e. ✓1 O Li 64. (- i 1{ h <br /> !'tint Nome <br /> a cknowledged before me this , -th y I y c <br /> The foregoing instrument was day of 7 /71 20 t (J , b ,) f1 Y I ve 11 <br /> Cl 1 as ) I( I (� (`(o rc� l tr\o, h r ' ',—, r c I-5 r (type of notb trH a ,, e.g. °Meer, Imam, <br /> attorney la iKt) for i l <br /> (mammae of party on WNW atwawa t•stror.at was anaeantai). <br /> Pence* 1Cncrw t , OR Produced Identification Notary Signature Jll� fi• yll ,all P.. ) <br /> Type of Ideall6ostiote Produced N1.mo (peiat) _J_. I/ Tyr l (l H. (',-: IC in a l) )1 <br /> Verification ptaroseat to Section 92.523, Florida %tu as Ungar penalties of perjury. 1 declare that 1 have read the Tangoing and that <br /> the facts staled in it are true to the beat of arty knowledge and belief <br /> Saar �� y` - , < , y! ' ,,� <br /> OFFICIAL SEAL °t>'1a re1Poke sf Um 10.) Above <br /> INGRID M HOFFMANN <br /> NOTARY PUBLIC - STATE OF ILLINOIS <br /> MY COMMISSION EXPIRES:09P03/12 <br />
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