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10-11063
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2010
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10-11063
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Last modified
8/16/2011 7:48:13 AM
Creation date
8/16/2011 7:48:11 AM
Metadata
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Building Department
Company Name
ZEPHYR HAVEN NURSING HOME
Building Department - Doc Type
Permit
Permit #
10-11063
Building Department - Name
ZEPHYR HAVEN NURSING HOME
Address
38250 A AVE
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Oct 12 2010 8:10 HP LASERJET FAX <br /> 8136713211 p. 2 <br /> • <br /> This space for use by Clerk ,of the Circuit Court only. <br /> 1 <br /> HMI 1111111111 1111111111 11111 1111111111 111111111111111111 <br /> 2010152510 <br /> NOTICE OF COMMENCEMENT <br /> a C11 fl <br /> P N r' <br /> t- m•• <br /> Permit Number: <br /> Tax Folio No. � )1O 0) 3 O &0/6 <br /> • <br /> - t9 W <br /> The wder'ri od a t9 W <br /> P hertby gives notice that improvements will be made to ca rtein real property, and in accordance with Section 713,13 orate <br /> Florida Statuses. the following inrormadan is provided In the NOTICE OF COMMENCEMENT. 0) <br /> v <br /> 1. Legal Description of property (street address required): _5?-2.5e, M �. b' £ ,iY✓C" j �� 1�F � z`y a <br /> 1 1 -s <br /> o -I Xi <br /> ..• • • tp <br /> 2. General description of improvements: � �/ nn al 0 <br /> A n V f%S r7h ( l 5 m.. <br /> 1,C Q IL s '[C s /-C O _ ' 70 ‘,1--1%. - ▪ m 0 • • <br /> 6 D <br /> 3a. Owner Name; (4 %e- weLI .44�G L` Y-- /� <br /> Owner Address 5� ., C� U e .1 u k`� '� L�CvL�t`! Cleo__ K GI <br /> 2 , y 1 oZ� A <br /> 3b. Owner's interest in site /,. -{') iS e f a,_/* i s,.,,, ) ! i 0 . <br /> ( 10 <br /> 3c. Fee Simple Title holder (of other than owner) 1 <br /> Address: , G F <br /> 4. Contractor Name; L) 19 /_ tic /v e-C� <br /> Address: 2'W ( /4/0 ' e.' �` i <br /> R <br /> Phone ',urst <br /> 5. Surety Name: <br /> '----- Amount of bond; <br /> Address: t,, v <br /> Phone: tS1 2 <br /> 6. Lender Name: N n <br /> Contact <br /> Address: <br /> a+ cn <br /> Phone: to \ . <br /> 7. Perron within the State of Florida designated y 7C I" ° <br /> g by owner upon whom notices or other documents may be served as providett by m <br /> e .. <br /> Section 713. I3(Ixa)7, Florida Statures. �1 <br /> / r .2 FIST) A Ave HIC W r <br /> Narite:. Y.�1 t�1 (� ( • Address: 7_,t hy ... h 5, FL 3 3 5 t f A._ <br /> 01 <br /> o-•1 o <br /> 11. In addition to himself, O Phone Number - a, - SG Er <br /> caner designates the following person to receive a copy of the Lien Notice as or's Noti (0 a <br /> 713.13(1)(b), Florida Statutes, provided in Section Fi <br /> N ° <br /> Name: 6'1 n <br /> Address: C m <br /> Phone Number: r- <br /> 9. Expiration date of Notice of ( 1 )year from date of recording Commencement (expiration date is one W N >p <br /> specified unless a different Babe is <br /> — 1 ° <br /> 3 <br /> U <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE E OF THE NOTICE OF r <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTION 713.13, FLORIDA m <br /> STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF r <br /> COMMENCEMENT MUST BE: RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU s <br /> INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEE RE COMMENCING WORK OR <br /> RECORDING YOUR NOTICE OF COMMENCEMEN <br /> -/ 4.4G� --',. ..tom -t!,� e <br /> Signature o weer or Owner's A 0(*fi e irecto er/ti ens <br /> STATE OF FLORIDA gee <br /> COUNTY OF HILLSBOROUGH <br /> The f Dine instrument was ado wledge before em this <br /> • day of ► 20 f <br /> b <br /> •. 'Ora, i .G1,13•a for <br /> Personally Known OR Produced Identification <br /> iili <br /> Type of Identifi <br /> ��� liFtBNB�k�rM1 <br /> ,, Conn# DO0831453 <br /> Y : Flom, E Flom, pk s 1 *din 81/2011 � , 1 � , a -�� <br /> Under penalties + .1`'` � AfM1.' <br /> Sigmarure - Na Public <br /> mu ao' il1i9saaaaaN eedliedahaa and Il ai the fin s stated in it are hue to die best of my knowledge and belief. <br /> Signature aublatural Person Signing Abdire <br /> (A copy orally bond must be attached e.. the time of recordation of thi s Noe ee or Commmcemmt) <br /> Updated February 2001 <br />
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