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<br /> Rffxtive: 6cto6er 1,20I1 I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII II�II IIIII IIII IIII
<br /> etum to:
<br /> NOTICE F CORp�gIVC'��
<br /> Siate otFlo p'Qa �
<br /> County of ,��J�('� Permit No. _
<br /> ����� 7 ax Folio No.
<br /> 77re undersigncd hereb�,gives notia tha[�mpro�ement wiit be made[o certyin real property.and in acwrdance wrth
<br /> Chap[er 7l3,Florid Statuhs,th�following infprmaYOn�s p vided in this No' �_`
<br /> the
<br /> � �1��m S 1'�- C'c_ f� /�
<br /> � �fb°°o�Pro ����cri on oC m �. ��� Z a3 �6 i `+�.�',,,' 'J
<br /> •g i� �P a�l'a"d �favaitable). �3�'1'► e �w L•CJ�.✓l �fi>>!
<br /> 2. General d� a.« � L j.
<br /> n esuiRtion f�mprorement�: � ���f✓r�111�� � ��/ � (
<br /> 3 �'nrortn a t i o n o r�o�y�����5��contradedfor the improvement
<br /> e Name and Address: p�'i
<br /> b. Ineerest in Properry�� � � � 'rlt"CY�V C`�J 1' ,y,�
<br /> c. N addrus of fee simple tiNeholder(ifdifferent from � T7T i,o�1�r!�, f�-��C��g`���?
<br /> �,�=�ff m•��¢'1 '�1+r � ,O,iwnerlistedabove):
<br /> 4 Contractor/�'�'S (��5.}p-;,yur.�i—
<br /> ��t�upe�-+r; r���� (�.��'u�.�tiv��S� �t�:��.1���T�.
<br /> � ' y,
<br /> a. Name and Address: j�
<br /> 3��� -�� \"► � TN'Y�i_. �1``'�2�_I
<br /> b. Phoce number- �M}��'^���, 33��:.t'r ,
<br /> 5 S�rery(ifappiicablqa ��
<br /> wpyofpaymart a
<br /> ��:
<br /> a Name and Addnss:
<br /> b Phonenumber: Rcpt:1457833 Ree: 10.00
<br /> -- D5: 0.00 IT: 0.00
<br /> ""'°""�°fb°"a: a 08/30/12 D. Boni 11a, D t
<br /> 6. Lenda
<br /> �---- P y C l erk
<br /> PqULR S 0'NEIL,Ph D PqSCO CLERK 8, COMPTROLLk
<br /> a Ne'�`�,°"°°'�: 08/30/12 09:41am 1
<br /> b. Phone numbc: -------.-- OR BK ���'� � q ��'T
<br /> � a«s�t.hn,m a�e smfe orFl«�a.aa� PG 1
<br /> urved as provid�ea Sy secuon 71 s.13�lxa)7.Flor;Q,St�:�"�d b�"p��0"wlam na;as«oaw docn,,,rnts,nay 6c
<br /> a. Name�d addras:
<br /> b. Phc.me numbas of designmed pay�:
<br /> 8. a. In addidon to h+mxlf or
<br /> he+sdf,Ownv daignsfet
<br /> Staaae.c. ��eive a copy oft6e Liqqr•S��q P��idod m—Seq'.�ian 7 j1 33 j Ky).Florida
<br /> b. P�wne number of Pe+sa�or auity desi�bY owiw:
<br /> �__
<br /> 9 �P��ion date ofnotice of�qmrt�v�
<br /> castruction and final pay���,bW will 6e!Year from Me date of (the ocpiration date may nal be before the comp�aim of
<br /> recording ufdess a diffaent daoe is specified)
<br /> W'��T�0��: ANY PAYMENI'S Mqpg BY THE OWNgR qFC�R 71iE E�,���OF,�,�NOTICE OF
<br /> ����ENT ARE CONSmERED ONpROPE1t PAYMh1d7S(nNDFJt�{qp�R 713.PA}tT I.SECTION 713.13,
<br /> F[ARIDA STA"iLJ'I'ES.,qNp CqN f��.p m Y�PAYING'f1VICE FOR IMpROVEMF]JTS TO YOUR pRpPE(t7'�•
<br /> A NO')'�E OF COMMETJCg�g��S'i BE RE(„'pRpE[�qNp POS.i.E�ON THE JOB SITE BEFORE'iyE FIIt�
<br /> �P�T�ON. IF YOU INTENp TO OBTAfN FM�Q.rG.CpNSULT
<br /> BEFORE (_ �TM'Y���DER OR AN q77p�y
<br /> �MMETJCMG WORK OR RECpRDp�G YO�Np77CE Op Cp�g�.
<br /> � Under prnalties of 0�7�ry,1 declare that 1 have rwd the faegoing Notia of Comrtien
<br /> j truc W Uie best uf mY�mowled . �tf�attltl��EE faas staled'm it are
<br /> ge and bdief. ���1` /
<br /> — �V J
<br /> � Ow�w cr Lessee.or Ownu•s or
<br /> Autlwri p�ar���a Lessee's
<br /> s,���sT��-�: V���� Q. Jones, Jr.
<br /> STA7EOF_(���, ate Counsel
<br /> COUN7V OF�.�,�t.y..v.� r `,,,�1 1 11 f f I//
<br /> �Y The laegoinB��sWment wss aclmowkd !�` \� 1,O� 4� �I
<br /> �fa� �� sw e��,.:m�.2�; �,,� m�n�,�ii�rr 4t��ne� �.�� y� . � . . b .
<br /> Ci.:wnst� " –'—_` � � -� � � : �'•'����$�j�'�,'��:
<br /> ..�, � ' . O �
<br /> I PasonallylCnown-.�'L���[ -----— p���dNarnc•�ateof ^ ie. = : SIOZ`�'iJ • .
<br /> TYP�of Idrnrificuion Prod�cdOR Produced(da��ficazim !''r... _ `� w��.r\,� ' •1�.l�O,T� ,
<br /> —i:La� .
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<br /> � Mrc:«nm�sconFxqres ��S�y���11�p� � � S3a1dX3 � �
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