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11-12552
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11-12552
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Last modified
6/19/2012 8:22:31 AM
Creation date
6/19/2012 8:22:24 AM
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Building Department
Company Name
ORANGE BLOSSOM RANCH
Building Department - Doc Type
Permit
Permit #
11-12552
Building Department - Name
BLUME,JACK & ADELAIDE,TOKA
Address
4618 BLOSSOM BLVD
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. _ iiiiiiiiiiii�iiiiiiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiii�iiiiiiii <br /> 2011178 <br /> NOTICE OF COMMENCEMENT <br /> Rcpt:1399616 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> PermitNo. 11/17/11 S. Shultz, D t Clerk <br /> Tax Folio No. 1�--- – ) 1 "�G�dGYJ ` V��� P Y <br /> THE [JNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section <br /> 713.13 of the Florida Statutes, the following '� ation�pr�� de this TICE OF Ca���✓��IF,� TC��NT�� � <br /> 1.Description of property (lega! d cri on . <br /> ; ,�`�- � �' �� ° � %c�h � �' <br /> a) Street (job) Addres . <br /> 2.General_descrjption of impro ements: <br /> 12 1 nL/Dh� �- �o�r r� .,��- <br /> 3.Owner Information <br /> a) Name and addlress �d)�. ��� � I �,-rar ��/ �' bi Ja �� Li l►r� Z..�� o� LS �� �,� � <br /> b) Name and address of fee sunple trtleho der (if other than owner) <br /> c) Interest in propert}��f��' <br /> 4.Contractor Information <br /> a) Name and address• 1 � ` �. j <br /> b) Telephone No.: �) Fax No. (Opt.) �) ��� G..� �, / <br /> S.Surety Information �— <br /> a) Name and address: '� <br /> b) Amount of Bond � PRULFI S 0' NE I L, Ph D PRSCO CLERK & COMPTROLLER <br /> c) Telephone No.: Fax No. ( 11 / 17/ 11 09 : 04am 1 of 1 <br /> 6.Lender OR BK PG <br /> a) Name and address: � � ,L1 ���� <br /> Phone No. <br /> 7. ldentiry of person within the State of Florida designated by owner upon whom notices or other documents may be served: <br /> a) Name and address: _�_ i_ �_ <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), Florida Statutes: � <br /> a) Name and address: � ..,� <br /> b) Telephone No.: Fax No. (Opt.) <br /> 9.Expiration date ofNotice of Commencement (th� eapiration date is oae year from the date of recording unless a different date <br /> is specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER 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 FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE I'IRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> SiATE OF FLORIDA ' " <br /> COUNTYOFPINELWS IO. -�� ���rnl� <br /> Si of er or O er's uthorized O i dDiroctodPartnedManager <br /> ���. ' � �r' �, <br /> Print Name <br /> The fo�egoing instrument was acknowledged before me this �� day of /�6'yF/n/J�/� , 20 /l , by� � � <br /> �`��� r� �. es ��:(� �� (type of aut rity, e.g. officer, trustee, <br /> attoraey in fuct) for (name of party on be 1 w o nstrament was executed). <br /> Personally Known OR Produced Identification Notary Signatur <br /> �,��v��es L�� :�•�. ��^ RAr� �. ���� <br /> Type of Identification Produced Name (print) =`� '; hAY CQPAMlS ! �#- <br /> '�, ;�,�,.•` EXPIRES Junp ?2, '?�15 <br /> Verification pursuant to Section 92.525, Florida Statutes. Under pe alties of perj a��e�the.�'one oin and that <br /> the facts stated in it are true to the best of my knowledge and belief ///) <br /> FORMSMOC,rvsd2007 �i���G��i��i"C/ t �" `(�(,(�/� `�- <br /> Signa ofNatural Perso;. Signing (in line #! 0,) Above <br />
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