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11-12662
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11-12662
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Last modified
6/20/2012 2:42:04 PM
Creation date
6/20/2012 2:42:02 PM
Metadata
Fields
Template:
Building Department
Company Name
MAJESTIC OAKS
Building Department - Doc Type
Permit
Permit #
11-12662
Building Department - Name
NHC FL 115 LLC
Address
3810 LACOSTE ST LOT 148
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��'�������� ��n�n�EN�,�,MEnrT IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> . 2011200462 <br /> Pernut �o Rept:1406268 Rec: 10.00 <br /> Tax Foho No -'y-a�--�./-ov3� -�uc;�va -lY(�O DS: 0.00 IT: 0.00 <br /> - 12/28/11 K. Gareia, Dpty Clerk <br /> THE IINpERS)GNED hrreby gi��es nouce Iha� unrrovemenrs vv�]� be made ro cenam reel proPerry, ;u�d m accordance wnh Sechon <br /> i � 3 � 3 of ihe Flonda�Statu�es �hc f�ll�,win� mfnnnauon ic � m this NnT10E (lF C'(1111MEN('E111En''1 <br /> mA��o�� ee�.,„„�„+,�=�s� on��83� <br /> 1 Descnption of properry �le u/ drscri pon : �S 10�-�1�. {.0}5 iy� .}.h�-w �� � �n,� <br /> � P 1 _ �x- 1Q���_�!a b'7 - — <br /> a) Street (job) Address 3�'Ib �{.���.. � � --- — -- - -_ _ _ _ _ __ <br /> 2 General description of iinpmvemenis. �iy- � �� � - � rh`!�_ �I 3�5'y� _ _ - - <br /> -- - � C'Xi�T►1'� Cc�l��.��_ - - �-' D <br /> 3 Owner Informa�ion - - - -- - - - -- - - _ _ _ - -- - - N <br /> - - - - -- - -- o�� <br /> a) Name and address: c /�,,� � o D <br /> ��t! S_�K�' _�e cq� -L+- M���_��� - � S - v� <br /> b) Name and address of fee sunple titleholdeT (if other than� � ��� 3� �� �2d�.�' ��' r t�L - � ~ o <br /> c) lnterest in properry .--- - --- — --- -- ----_�� � <br /> � 4 C'ontractOr lnfOtltlation �� f�'h'1} epY�g{��.(iO�1 Ot �_— ---- ------ —_— � r <br /> C .t�� Fl I�.. --�� ? <br /> a) Naune and address: 40 m r - , h' �, <br /> - �e� - ��v h u'f � �� / 3� Wm v <br /> b) Telephone No � j3=?$� -�(� �� �—_ a <br /> S.Surery Information Fax No (Opt )�13_21S S�S�' --(�� D <br /> � <br /> a) Name ar�d address. � <br /> b) Amount of Bond: _ �~ � <br /> c) Telephone No.. -- _ --- o m <br /> b.l.ender — Fax No. (Opt, ) • — � <br /> �� <br /> -- � � � <br /> a) Name and address. ___ o <br /> _ Phone No. � � <br /> 7 Identity o{ person within ihe State of F)orida desi�mated by owner u � � <br /> a) Name and address: Pon N'hom naices or other documents may be�serv��� � <br /> b) Telephone No.: m <br /> 8.1n addition to himself, owner dcsignates thc followin Fax No. (Opt.) <br /> 713 I 3(1 xb), Florida StaNies: g P�on �o recc;vc a copy of the Lienor's Nodcc as providecl in Section <br /> a) Name and address: <br /> b) Teiephone No.: <br /> 9 •�P����on date ofNotice otCommencement (the eYpiratioo date is one y a f om 6e of recording unless a dilfereni date <br /> �s spec�6ea): <br /> �'VARNING TO OWNER; ,�� pAyMENfs MA�E By �E OWNER AFTER THE EXp�qT10N OF 7'HE NOTICE OF <br /> COM pRE CONSIDERED IMPROPER pA1�NTS UNDER CHAp'I'ER 713, <br /> FLORIDA STAT'UTE�, ,�D CAN RES(TL? IN YOUR PAYIIVG 7'Vy10E FOR I]VVipROVEI►�N7'S TO YOUR� ROPER <br /> A NOTICE OF COMMENCEMENT MU57' gE RECO�pED ANp pp�p ON THE .IOB ST!'E BEFp� TgE FIR�. <br /> INSPEC77pT1, � y0U INTEND TO OBTAIN F'�VA,IVCING, CONSULT YOUR LENDER OR AN A BEFORE <br /> COMMENCIlVG WORK OR RECORDIIVG YOUR N07'ICE OF CO1�A�NCEMENT. <br /> STATE OF FL(►R1DA <br /> COUN7'Y OT�f }r�c � J � ' <br /> / v�•�� �06 /iC� <br /> S�Rti uf 9a or pwncr s Au�honzed ORicet/Duec/udp���y <br /> — " �''[i � Y'hl <br /> Pno� Namc �l - <br /> 7�he foregoing inshvmcnt was aclrnowledgcd beforc me this �� aa or U�C� m b r�- , 20�_, b <br /> `.� � � Y <br /> (type of puthority, e.g. olTicer, trustee, <br /> �norney in fact) for <br /> (n'me of pa ry behalf oi whom inst umenl was eYeculed), <br /> Personally Knuvvn �OR Produced Identification <br /> --- Notary Signa <br /> TYpe of ldentification Produced <br /> ��.��.r�.c���� ��re �� �- , <br /> Verification pursuan� �o Section 92.525, Florida Staro�es.�Under pen�ties ot er u 1 declare that 1 have read the tore oi <br /> r.�s;�x. <br /> the facts stated in n are true to the best of my knovvled e and p � ry ' B ng and chat <br /> 8 beliet. <br /> FOR MS�TtOC.rvad?OS1 �ret � <br /> � �- SHAH�RC?t�i JOHNSON >C -��y��� <br /> .;� :''? Com►r►�ssion # EE 105642 S�R+�� f Nawal Pcrcon Signing lin tinr q 10 ) Abovc `��------- <br /> 3� -�: Ex ires Ju , 2015 <br /> {, ''•`, �'n� :�eti,� �23 <br /> �i,� �1bY �naxance8ao3BS7o1Y <br />
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