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09-9686
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09-9686
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Last modified
8/15/2011 9:53:25 AM
Creation date
8/15/2011 9:52:27 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
09-9686
Building Department - Name
BACK,WILLIAM & DINA
Address
5121 19TH ST
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NOTICE OF COMMENCEMENT 111111111111 IIIII 1111111111 11111 1111111111 11111 11111111 <br /> 2009154159 <br /> Rcpt :1270599 Rec: 10.00 <br /> Permit No.1, B« �. DS ; 0. /T: 0.00 <br /> Tax Folio No. l/ - 2C - 4,- 6o /O'-20 /DO - O 10/27/09 Dpty 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 /> 1.Description of property (legal description): L.07,,S j 7 8 / & 'Ck ZD / G' /1 r O/C ZEIV y,P /t $ <br /> a) Street (job) Address: 5/2 / /9711 . Sr. ZEp// y.2J/ -iZL 1° f ft. 33 6 2. <br /> 2.General description of improvements: ! , „ , , <br /> 3.Owner Information <br /> a) Name and address: A//LL/4 41e , 614/4 Aga Ck 5/2/ 19m Z.s,ev Y.Q rnYS �L <br /> R b) Name and address of fee simple titleholder (if other than owner) /1 g , <br /> c) Interest in property <br /> 4.Contractor Information <br /> a) Name and address: Home 014)4/4e / <br /> b) Telephone No.: g/3 — 7/ 5-6)S0 Fax No. (Opt.) fiZ <br /> 5.Surety Information <br /> a) Name and address: ,/e, <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No. (Opt.) , PAULA S. 0' NEIL , PRSCO CLERK 8 COMPTROLLER <br /> 6.Lender 10/27/09 OR BK Q ler 1 PG a) Name and address: ��• y 33 <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: /, 09. (0/0/1/46 ,04/2- <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: /+� , 9 , <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 <br /> is 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 MMENCEMENT. <br /> STATE OF FLORIDA ,/2 <br /> COUNTY OF �S f S (. 10 <br /> Signature of Owner or Owner's A Officer/Director /Partner/Manager <br /> W/I1 ,o, BA <br /> Name ,\ <br /> AtZrL <br /> The foregoing instrument was acknowledged before me this or day of ^t,[&Q,k. , 2009 by 1W <br /> as 1 lr (type of authority, e.g. officer, trustee, <br /> attorney in fact) for (name of party on behalf of whom instrument was executed). <br /> Personally Known OR Produced Identification t/ Notary Signature <br /> rr . & Type of Identification Produced \Z /t1n,�P.v� �cD (print) �-�t��.� � e , t , t <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 to the best of my knowledge and belief. 7 <br /> FORMS/NOC,rvsd2007 Of /i Notary Public Stets of Fl%IMa <br /> Rnxdy Signature of Natural Person Signing (in line # 10.) Above <br /> N,1 DD554049 <br /> o, n xpirec ;)EVI5/2010 <br />
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