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11-11771
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11-11771
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Last modified
2/8/2012 2:09:59 PM
Creation date
2/8/2012 2:09:57 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-11771
Building Department - Name
OUR SAVIOUR LUTHERN CHURCH
Address
5626 20TH ST
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� IlllillllllllllillllllllllllllillliflilllllllilllBIIIIIIIII <br /> , 2011046207 <br /> ` . -- -- ---- - <br /> �Rept:1368721 Ree: 10.00 _—� <br /> DS: 0.0@ IT: 0.00 <br /> 03/28/11 C. Cook, Dpty Clerk <br /> PAULR S 0'NEII�Ph D � - --- <br /> 0 3/2g/11 Pp5 CLERK a �pqpTROLIER <br /> OR 8K ��� p� �f 1 <br /> NO'I'ICE OF COMMENCEMENT 1 24 <br /> Permi[ No. <br /> Property Identification No. �a' �� '�� ° ��o�� ^- V d yOd " �/� <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section <br /> 7] 3 l3 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT � <br /> `, /or�roi� <br /> ] Descriptionofproperty(legaldescription:) 7'�✓b�.iNf,S /�m�*�oN to2t�'YtqiuS RCViSE4roqP?6� T4�bLori��'?O QcKy&1racJ/J <br /> a) Street Address: ��G n70�� Shi�r-f� 2�elo.../i ://.+ �'G 3�5�/.Z - h��/5%/ <br /> 2. General description of improvements: �7r- �ooF /!/�.ve�s <br /> 3 Owner Infortnation x' <br /> a) Name and address: DU�P S�4(�/A2 /.LTHPR/}I�/ �'j/U�lN .S6:1G ;1G'�� 5�. �.n�,�./. �� �1.. S'sS,�, <br /> b) Name and address of fee simple titleholder (if other than owner) �--�--- <br /> c) Interest in property Ft,�.Ll Ot�J✓1CY'sl+� <br /> �Contractor [nformation <br /> a) Name and address: TRIF'LE C�?I��n/ /2ooFitik 39(•,�if ,S"l"ATr'rf ZEi�1y�i,�CS F,�_ 33S5�:Z <br /> b) Telephone No. $/��3� - �7�d Fax No. (Opt.) .v�,� ' <br /> 5 Surety Information <br /> a) Name and address: N��} <br /> b) Amount of Bond: <br /> c) Telephone No. Fau No. (Opt.) <br /> 6 Lender <br /> a) Name and address: ►J�{} <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: �ZO})2�^i' DIGfCnbGiKL►' S111 "rerHh Sfi td - , 7Thyrh �1.. 33S'i2. <br /> b) Telephone No. $13 �1$$ SE2� 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 /> 71313(1)jb),FloridaStatutes: N/ � <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 uniess a different date is <br /> Specified) <br /> WARN[NG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXP[RATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SEGTION 713.13, <br /> FLORIDA STATUTES AND CAN RESULT IN YOUR PAY[NG TWICF, FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SI"fE BEFORE THE F[RST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LEN ER �F AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF MEN <br /> STATE OF FLORIDA � <br /> COUN7'Y OF PAS Xi <br /> �y"ti��"yt N�jALIE�, �${�p� Sign e of Owner or Ownec'S [horiud Officer/D�mctodPartnedManager <br /> �. � �dy CO�NdISS10N 1 DD 799074 .'1'� `/�.k(/�Q C. VOlC'Tit�+Q/NJ <br /> '��' �� �$: Jlu�e 19, 2012 Pnnt Name Q� W Y <br /> tx �nRacuM�mnrn � z V � �. <br /> The foregoing instrument was acknowledged efore me this � day of �Y(�� , 20�, by ��n Q W�� w w <br /> in fact) for � (name of party on behalf of (hom nstrumen wase ecuted)trustee, atto ey � Z � Q J O � <br /> ��Q= `�� � <br /> Personally Known _ OR Produced Identification � Notary Signature � a � Z U a � <br /> 0=—.� � <br /> 3 0 >" �- I— p Q O <br /> Type of Identification Produced F� t�� �a�-�vs-s � 3 Name (print) 5�1U � W O O U <br /> � I >- V t�i. ' �S <br /> Oi--d�0 <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that t -' _� U� W <br /> the facts stated in it are true to the best of my knowledge and belief. F-- z J <br /> � H J <br /> C]>-Um U <br /> � � W � z _ <br /> � SignaNre of atural Person Sign' A ove ~� a Q} <br /> FORMSMOC,rvstl2007 � W � �_ � Z <br /> �.U O <br /> �7F c� <br /> f1J (n ¢ J w Q <br /> � � (n � lL ZC � �,,,.�--� <br /> ~ _ � z � <br /> +Ct) F— I— O � C <br />
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