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11-11677
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2011
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11-11677
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Last modified
12/15/2011 10:59:19 AM
Creation date
12/15/2011 10:59:17 AM
Metadata
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
11-11677
Building Department - Name
STUMP,MIKEL
Address
5635 19TH ST
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I illlll lllll lllll lllll lllll lllll lllll lllil lllll lllll llll llll �y �� z-�.� <br /> � - p_, :?� _�'.�;C� 2011046216 <br /> � dIb ; 78'-53i4 <br /> , 3�35/ C � �� <br /> ��� �� <br /> Rcpt:1388726 Ree 10.00 <br /> DS: 0.00 I7: 0.00 <br /> 03/2B/11 C. Cook, Dply Clerk <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> PiiULR 5 0'NEIL,Ph D PpSCO CLERK i COMPTROLIER <br /> 03/28/11 4 1 of 1 <br /> Property Identification No._ /�- e - e�/-Ov/v / d yd p- Od80 OR BK_ ���� P� 144 <br /> THE UNDERS7GNED hereby gives notice that improvements wil] 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 (lega! description :) � �� Z �!J P,� � �0� ,�/ �� f.f y �� �� 0 � �� <br /> a) Street Address: s"u ,�S / 9`���� � f f� <br /> 2. General description of improvements <br /> 3 Owner Infortnation <br /> a) Name and address: m/� lf�U/D���" �9� � �„f �� �-/ ���,,,�y <br /> b) Name and address of fee s�mple htleholder (if other than owner) ��� `•w s� <br /> c) Interest in property <br /> 4 Contractor Information / , <br /> a) Name and address:O.�l(.�( cfY�p ,�� ,,T G ��� �� `' . o_/ Z �/ �/ „/ ��� <br /> b) Telephone No.• .-�.� /CLl' •�{ql�f /y <br /> 5 Surety Information Fax No. (Opt.) <br /> a) Name and address: <br /> b) Amount ofBond: <br /> c) Telephonc No. Fax No. (Opt.) <br /> 6 Lender <br /> a) Name and address: <br /> 7 Identity of person within the State of Florida designated by owner upon w om no ces 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), FloridaStatutes: <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 recordin$ unless a different date is <br /> Specified): <br /> WARNING TO OWNER: AIVY PAYMENTS MADE $Y THE OWNER AF'I'ER 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 FOIt 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 FINANCTNG, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA <br /> COUNTY OFPqSCO W <br /> ��_� f- Y <br /> S�gnature of pwner�5 puthonud Oflicer/Dvector/PartnedManager a Z U � <br /> %�% �� �7�'f% o � w � �� W w <br /> Prmt Name V���_ � J U <br /> � L N Z���, — �O } <br /> The foreg��nsjrumqnt was acknowledged before me this o of �' �-�C.n Zp A/ b � ,� <br /> / C�fJ Ct'lJ� r Y— �� p=`t N � a <br /> in fact) for (type of authority, e.g. officer, trustee, attomey LL. �� z� � �� <br /> (name of party on bchalf ofwhom instrument was executed), � �__ � � <br /> �/^'�� � F- Q� �> .. <br /> Personally Known _ OR Produced Identification r Notary Signature ��- S� 1 C. �[.(' i v �l! �'_ W i't- � U U <br /> �=00� � <br /> V7�.� � ~aw �� <br /> Type of Identification Produced � Name (print) _ �Q �/►� �t� � Q ��� � <br /> SUC,)Z <br /> Q � � � Q V , <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that T have read thc foregoing and that �� W�� � <br /> the facts stated in it are true to the best of my knowledge and belief. o � � 0 r O z <br /> FORMSMOC,rntl20D7 Signa ture o C NaNral Person Si ing Above Llc U �� e C � <br /> G i-- z��,.,� I cn <br /> NOTARY PI.BLICSTATE OF FLORIDA �� Q J i � J � I <br /> • Stacie :iartwig �- — w � <br /> •� `_ Commission # DD92616 � � _, z �� �� �„ <br /> ;"�!,° Expires: OCT.16 2013 � � � � ` a •-� <br /> aotinsuranv en.n.�^nc eo�vc�cca.a�a <br />
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