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12-13577
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2012
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12-13577
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Last modified
7/22/2013 10:57:40 AM
Creation date
7/22/2013 10:57:38 AM
Metadata
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Template:
Building Department
Company Name
MAJESTIC OAKS
Building Department - Doc Type
Permit
Permit #
12-13577
Building Department - Name
NHC-FL 115 LLC
Address
39810 COG HILL LP LOT 169
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i IIIIII Illti IIIII IIIII Iilli IIlII IIIII III►�i�u►��iii iiii ini <br /> 2012186784 <br /> , �1'07'�C:E OF C'UMMENLEMEn'T Rcpt:147260Ei Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> Pernut �o <br /> 11/01/12 E. Munguia, Dpty Clerk <br /> Ta�c Foho No ��-�-�/-(�D��)-UD�.CIU -/5/lv0 <br /> THE UNpERS)GNED hereby g�ves nouce that nnpro��ements wi11 be made to cenam real properry,and m accordance with Sec��on <br /> 71 3 I 3 of ihe Flonda Statu�es the following infonnation is ri�,�>>ded m tMs NnT10E nF('(11�1MENCF111EN'I <br /> lYltz,���}-��, L�i:-�C;; ��,tv�rv.wti.�-r�'�a5 r. D t�� t�B 37 F�laS J o 2-11�l t_c 7's ���,-- E Z� <br /> I Descnpt�on of properry�lega)drscriprionl: _L`'Lc;-t_�u<��;��(�� _ _ <br /> al Street(job)Address 3481p Ca _K1Ll--_I_.�_L����r_h lls� Fl_335�3.. -- - - - � - --- - - -- <br /> 2 General de�cn tion of im rovements: _ - - - - - '"'$ <br /> P P � C�S-Cpai»__ _ -- r� <br /> — --- _ — — ---- -- - - — — -- ---- -- ��D <br /> 3 Owner Infonna�ion /�t H�,-F� JlT �..� ---- - - - - - - - - - - - - ---- - -- co�`" <br /> a)Name and address� �'�° <br /> � ��_!?am��.�,��K�\ ;� �:� N z <br /> —11��'v1�D�3�.i3Z-��s'/-a y93 <br /> b)Name and address of fee snnple titleholder(if other than ovmer) — � - - ��� <br /> R c) lnterest in property --- ---- -- --- - _ - _ ---` - -- �-'r <br /> 4 C'ontractor Information �H L�c�s��-w.�cr� ok�Lrr.,r,�;z� ����„�, �w� <br /> a)Name and address.�-1 a,r - " ���j 7- �� ,( �( �-( 335�__ ��D <br /> b)Telephone No �13�7���-lpL, Fax No.(Opt ) $1�3�7i�%(��� `" <br /> S.Surety Infonnation �,..o <br /> a)Naune and address. � � <br /> b)Amount of Bond: -- ��,� <br /> c)Telephone No.: Fax No. t -- '"'�' °' <br /> 6.Lender -- �OP•) •�a � <br /> a)Name and address: � 3 <br /> -- _ � � <br /> 7 Identi of Phone No. --- ° <br /> ry person within thc State of Florida designated by owner upon whom notices or other dceuments may be ser.�,ed: A <br /> a)Name and address: <br /> b)Telephone No.: Fax No.(Opt.) <br /> 8.In addition to himself,owner designates the following person to roceive a copy of the Lienor's Noticc as provided in Section <br /> 713.I 3�1 xb),Florida Statutes: <br /> s)Name and address: <br /> b)Telephone No.: Fax No.(Opt) <br /> 9.Expiration date of Not�ce of Coinmencement(the eYpiration date is one year from ibe date of recordiwg uniess a different d�te <br /> is speciTied): <br /> �'NARNING TO OWNER; ,A]VY p,�y��V'�'S��pE B1'THE OWNER AFTER THE EXPIRATIQ�V OF THE NOTICE OF <br /> COMMEIVCEMEN7',�RE CONSIDERED IMPROPER p,,y11SENTS UNDER CHAp'I'ER 713,PART I,SEC'I'ION 713.13, <br /> FLORIDA STATITI'ES,AND CAN RESULT IN YpUR pAyING TW10E FOR I11iPROVEI�N7'S Z'p Y0�PROPERTY, <br /> A NOTICE OF COMMENCEMENT MiJS?BE RECORDED AND ppST'Ep ON THE JOB STI'E BEFORE THE FIRST <br /> 1NSPECTIp1V, IF y0U INTEND TO OBTAIN FIlVA,IVCII�TG,CONSUL7'YpUR LENDER OR AN ATTORNEV BEFORE <br /> COMMENCIIVG WORK OR RECORDING YOUR NOTICE OF COA9lVIENCEMENT. <br /> STATE OF FLORIDA <br /> CO OF ���°k�^ Notary Pua�State of Florida �. G�i?a.�' �+g p L�1 � <br /> /�Cl� � ` Bruce A Asbel <br /> S�BnaNre uf or Owner s Amhonzrd Ofticer/D�rectur�panner/Managrr <br /> My Commissan DD989010 <br /> or M1� �xWreB 06/22/2014 �(�ix �C�_� <br /> PrintName <br /> The for�cgoing instrumcnt was aclrnowledged before me this . / <br /> �day of L�[3 U�il�f3 Ei L ,20=�by 2� <br /> �-- Je�Y' as <br /> (type ot authority,�.g,oRcer,trustec, <br /> attorney in fact)for (oame of pprty on balf of w6om instrument was eYecuted). <br /> Personally Knovvn OR rroduced Identification �1 <br /> — Notary Signatwe +� <br /> Type of Identification Produced �{p, „ � )5�/�� <br /> Name(print) �[r �%c.._.�.�_ � _.j`f <br /> -.,, ,�. .. <br /> �' ""`�'_ <br /> Verification pursuant to Section 92.525,Florida Statutes�Unde��s of er u I declare that I have read the foregomg and chat <br /> the facts stated in it are we�o the best of my knowledge and belief p � ry' <br /> F(NiMSNOC.rvw1?W7 � ��. <br /> ►�O�Kx Pudfc.SbM nt Fwada <br /> Bnice A Asbel <br /> �� �p< My Commission Dn9e9q10 � S�Bnaw�f atunl Pcr�on Signin@ lin linr if 10)AMvr — <br /> �or p,d' Expires 06/22/Z014 <br />
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