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12-12613
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12-12613
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Last modified
4/16/2013 9:15:53 AM
Creation date
4/16/2013 9:10:37 AM
Metadata
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Building Department
Company Name
ERIC HOOPER INC/WENDYS
Building Department - Doc Type
Permit
Permit #
12-12613
Building Department - Name
ERIC HOOPER INC/WENDYS
Address
5658 GALL BLVD
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i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iii�i iiiii iiiii iiii ii�i <br /> 2012200598 <br /> Rcpt:1477873 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 11/27/12 K. Garcia, Dpty Clerk <br /> PRULA S 0'NEIL,Ph D Pp5C0 CLERK & COMPTROLLER <br /> 11oR7BK2 �7�� 1PG�f'17 <br /> T� �/\� NOTICE OF COMMENCEMENT <br /> Permit No. � �w <br /> Property Identification No. �1�Z�r��'-L��`�- ���—��"�� <br /> TI;E UNDERSIGI�tED hereby gives notice that improvements will be made to ceRain real property,and in accordance with Section <br /> 713.13 of the Florida Statutes,the Following information is provided in the NOTICE OF COMMENCEMENT. <br /> , c <br /> 1 Description of property(legal drscription:) �N E f���� 5 <br /> a) Strcet AddrGSS: .�ls'SL� �R�L fZi_�T"�F►�41� 11�.. �F l� 3 35N0 <br /> 2. General descri ti of im roveme ts <br /> p ���.1,�(y � � E-1 M�AC-�E <br /> 3. Owner Information <br /> a) Name and address: � ��L �o�'P��- <br /> b) Name and address of fee sim�le titleholdet�(tf other than ow\1ner) � <br /> c) interest in property •S <br /> R 4. Contractor Information uy+^- `� � �� �, L 3��p� <br /> a) Name and address: ++«� �� '3r-2 $•1 13 2 S,'L <br /> b) TelephoneNo.: Fax No.(Opt.) <br /> 5. Surery Information <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) TelephoneNo.: FaxNo.(Opt.) <br /> 6. Lender <br /> a) Name and address: <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served� 3NbG� <br /> a) Name and address:�1l�n'�•^�7 �'c.N �'t E" Z31J1 Ci�Wfi �r4� ,�.2c+��SViLI.� <br /> b) Telephone No.: '��_ � �`-�� ZS� Fax No.(OptJ 2c� �j`,�`�' 25��Z <br /> 8. In addition to himself,owner designates thc foilowing person to receive a copy of the Lienor's Notice as provided in Section <br /> 7I3.13(1)(b),Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.. Fa�c No.(Opt.) <br /> 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is <br /> specified): <br /> WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER A R THE E RATION OE THE NdTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS ER CHAPTE 13,PART 1,SECTION 713.13, <br /> FLORIDA STATUTES AND CA1V RESULT IN YOUR PAY[NG TWI FQR IPROV ENTS TO YOUR PROPERTY.A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND P TED ON TIiE B SITE BEFORE THE FIRST <br /> INSPECTION.IF YOU INTEND TO OBTAIIV F1NAlVCING,CO ULT YOUR DER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECOE2DING YQU NOTICE OF N T. <br /> STAl'E OF FLORIDA <br /> C011NTY OFPASCO <br /> Si turo or Owner's Authorized Officer/DirecmdParmer/Meneger <br /> 2dyMD .v,� 1��LKlT�c <br /> Print Name <br /> The r ing inst e w s acly�opv�ged before me th��day of ��Y/C�- ,Zry' L ...—.....---- <br /> M ��,'i t,��6_U fe of authori e.g. ffi in fact)for <br /> + ��- (name of party on behalf of who i suwnent was ex ��''•'��' J <br /> � _•� �� ��QUFLIN�B <br /> Personally Known_OR Produced identification_ Notary Signature �ES' <br /> C '��'�• �� ���� <br /> Type of Identification Prod�c��������- Name(print) � � " F��2�� <br /> V e ri fi c a t i o n p u r s u a n t t o S e c t i o n 9 2.5 2 5,F l o ri d a S t a t u t e s.Un der penalties of per ju ry,I declaze that I have read the foregoing and that the ��7p�g <br /> in it are true to the best of my knowledge and belief. <br /> FaRMYNOC rvae2�07 <br /> S�gmNro oFNaNnI Pacon Sigm�g Abm'< <br />
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