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11-12279
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11-12279
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Last modified
5/14/2012 10:06:40 AM
Creation date
5/14/2012 10:06:39 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
11-12279
Building Department - Name
PERIGO,SHERMAN M YOLANDA D
Address
5045 5TH ST
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� i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iioi iiii iiii <br /> - Pcrrn�t No 2011124336 <br /> Rcpt:1382612 Rec: 10.00 <br /> Property Identification No _ ��_� jv "�,��- D �/D_- l� -��} (p� DS: 0. 00 IT: 0. 00 <br /> - - 08/10/11 L. Sagastume, Dpty Clerk <br /> Tl�� IINDERS[GNED hereb}' g�ves nohce that improvements will be made to certain real property, and in accordance wrth Sechon <br /> 713 13 of the Flonda Stahites, the following informat�on ts provided m this NOTICF. OF COMMENCEMENT <br /> 1 Description of properiy (lega[ descriplio�: :) f 1 �o - ,:,2 l�(' O/ 11 � � 1�7��� - L�C� (W C� <br /> a) Street Address �C1 ;j�t • ----- _�� r �'� �.�� r�� ----- --------- <br /> 2 C i e n e r a l d e sc r i p t i o n o f unprovemen ts -► r0 � � <br /> 3 - Owner Informatt�n -------- - Y - 1�`� - ------------ <br /> a) Name and address r i ��� C flt <br /> ��' Y��� 01� ���'�-�� �5 �- -� . _���� 1Y.z'G�� �L �35 �� <br /> b) Name and address of fee sunple title iolder (if ot}iei than owner) -- <br /> —�� -� --------- <br /> c) lnterest m property _ - - -- � <br /> ��`�1Z�d''�— ---- — <br /> 4 Contractor Informat�on - --- <br /> a) Name and address �GLi'"Ir� t�_ �Q� yl Q�_`l ��j _� Jr.� �C .�'�.., �� <br /> b) Telephone No 7 - �j� __ Fax No (Opt.) _ <br /> 5 Surety Information — <br /> a) Name and address <br /> b) Amount of Bond — - ------ <br /> cjT�!�ph�r:e?�Io --- -- � FaxNo -- <br /> 6 LEridOt' — — PRULA S 0'NEIL Ph D PqSCO CLERK & COMPTROLLER <br /> -- — 08�10�11 8585 1 0 52 <br /> a) Name and address OR BK PG <br /> _ Phone No <br /> 7 Identity of person with�n the State of Flonda designated b ow er upon whom notices or other documents may be served <br /> a) Name and address <br /> b) Telephone No ___ Fax No (Opt.) - <br /> 8 In addrt�on to hunself, owner designates the follow�ng perso 1 to rec ' copy of the L�enor's Notice as provided �n Sect�on <br /> 7] 3 13(1) (b), F7onda Statutes <br /> a) Name and address <br /> h) Telephone Nc� � Fax No (Opt.) _ <br /> 9 Expiration date of Notice of Commencement (the expuat�o date is one year from the date of record�ng unless a different date �s <br /> Specifiecil ________ <br /> ���AR1vINC TO OVVNFR: ANY YAY'MF,N'I'S MADF. BY THE OWNEIt AFTEI2 1'HE E�PIRATION OF THE NOTICF., OF <br /> COMM�NCEMEN'T AR� CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, P.AI2T I, SECTION 713.13, <br /> FLOFtIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A 1YOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRS't <br /> INSPECTI01�1. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFOR� <br /> COMMENCING WORK OR RECO32DWG YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA ��� ` / � �))) � <br /> COUN1'Y Or PA. _,` � i ����_ _ X ?y,� �' � .�� "-G ./" �-� �l <br /> STEPHANIE A DAVIS � � .. � _� <br /> � ���''-_ MYCOMMISSIONMDD8880 Signa�ureofUwnerorUwn ' Auih��i dOfficer/Director/°artner/M <br /> EXPIRES: July 14, 2013 J r � � <br /> ���� ��� � Bonded Thru NWary Pub�c Undervrciters , j + /�L,�✓► f+ � wt - ��',trJ Ga / U �- �} �l.'�i � U • �C � / L. CU <br /> Pnnt Name <br /> t ' I ` <br /> The foregoin� instrument was acknowledged before me this _� day ofi�{�jy��� , 20 l I, by �_V �7 Y�����"� . <br /> �t f ��� �'"`5.�--- ��S2�s4- �,J l�" � �� - h' g <br /> , � - � _ ______ . (type of authon e. i�fficer, trustee, attorney <br /> in fact) for (name of party on behalf uf_ om instrument was executed) <br /> ----- ------------� \ � _ . <br /> Personally ICnown __ _ OR Produced Identificatton ,,� Notai Signature �_ �� �s^-��� _ <br /> Type of� Identification Produced � _1_ )��L..�' .J Name (pnnt) _ .��,1`� 1 ,��� <br /> � C ��.t�� �' ���--- -- �-��� -- <br /> Vertf.lcatton pursuant to Sectton 92 5�5, Plonda Statutes Under penalties of per�ury, I declare that I have read the fore�oing and that <br /> the facts stated in it are true to the best of�my kn��wledge and belief. <br /> f �/� � �,� � � <br /> /� : ,r�" = Y�- �� _ _ ? .� �! ` ,--{ ` ----- <br /> Sig tan ure of Natural Person ng AbCve — <br /> FORMS/NOC,rvsd2007 <br /> �_ <br /> l. �,�` l�'i�'�,�, �.� `�'`�.. <br />
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