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11-12383
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11-12383
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Last modified
6/11/2012 1:01:15 PM
Creation date
6/11/2012 1:01:13 PM
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Template:
Building Department
Building Department - Doc Type
Permit
Permit #
11-12383
Building Department - Name
WELLESLEY DEVELOPMENT CORP
Address
5524 GALL BLVD
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� ss�9 <br /> NOTICE OF COMMENCEMENT <br /> PERMIT NO. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> Taac Folio No. 2011139346 <br /> THE LJNDERSIGNED hereby ; �ives notice that improvement will be made to certain real property in accordance with Chapter 713, <br /> Florida Statutes, the following mformat�on is provided in this Notice of Commencement. <br /> l. Description of property (legal description) , . 33�y1 <br /> (a) StreetAddress: /1^,� - ' -0 <br /> 2. General description of improvement <br /> � f 3. Owner information / f�Or /v N r�O�m �� � �' � <br /> i (a) Name and address: PI I .�VeIO I�P <br /> � ( b) N a m e an d a d d r e s s o f f e e s i m p l e l e h o l d e r ( i f o e r t h a n o w n e r): 3 / S <br /> (c) Interest in property � <br /> 4. Contractor Information 3// T�j�,� ' <br /> (a) Name and addr ess: � � -SP�'✓/ ��f , �jrjr3 �+✓. �fGl �ri'3 �l/� � � �� , / , �G, 33��� <br /> (b) Telephone No: ��/3 .- 3 F� No. (Opt.) � <br /> S. Surety Informaxion Rcpt :1387498 Ree : 10 . 00 <br /> (a) Name and address: DS : 0. 00 I T: 0. 00 <br /> (b) Amount of Bond: 09/08/ 11 L. Korb , Dpty C 1 erk <br /> (c) Telephone No.: Fax No: (Opt.) <br /> 6. Lender �PRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER <br /> 09/08/11 10:10am i of 1 <br /> (a) Name and address: OR BK �5�� PG 2���, <br /> (b) Telephone No.: <br /> 7. Identity of person within the State of Florida designated by owner whom notice or other documents may be served: <br /> (a) Name and address: <br /> (b} Telephone No. Fax No: (Opt.) <br /> 8. In addition to him or herself, owner designates the following person to receive a copy of the Lienor's Notice as provided in <br /> Section 713.13(1)(b), Florida Statutes: <br /> (a) Name and address: <br /> (b) Telephone No.: F� No. (Opt.) <br /> 9. Expiration date of Natice of Commencement (the expiration date is one year from tlie date of recording twless a different date is <br /> specified herein): <br /> WARNING TO UWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE <br /> OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION <br /> ?13.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YUUR <br /> PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE <br /> THE FIItST INSPECTION. IF YOU INTEND TO OBTAiN FINANCING, CONSULT YOUR LENDER BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCE <br /> STATE OF FLORIDA, <br /> COUNTY OF PIlVELLAS Si ture of er or O s A orized Officer/Director/Partaer/Manager <br /> > <br /> Print Name Si tory's � e/Office <br /> The foregoing instrument was acknowledged before me this � day of �20 ! � by �N u2e c .� M � ��AcEj c,J S� L( ,. ; <br /> as 1 � (type of authority, e.g. officer,trustee,attomey in fact) for ���p���+�� j�.n (name of party on <br /> behalf of ins encn�ecuted). <br /> Peisonally Known Or Produced Identifacation� 10. <br /> Type of Identification Produced r � �- I � � �� �`� � � � � ��Y Signature � �� ��� Q� J �,� <br /> CJ� <br /> Print Nazne <br /> ,:.�.. <br /> Verification Pursuant to Section 92.525. Flq�r'da 9tatutes der penalties of perjury, I declare that <br /> After recording return to: I have read the foregoing and the facts stated in it are best of my knowledge and belief. <br /> City of Largo � P ,, , <br /> P O Box 296 ,:R�' MUHAMMAD WASIM <br /> Largo, FL 33779-0296 '*� �' , MY COMMISSION # DD 780025 Signature of Naturel P igning Above <br /> �• •' l �XPIR�S: August 17, 2012 <br /> •, j����;y� • Bonded Thru Notary pubik Underwiiters � <br />
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