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<br /> ClTective:Oo�oBer�,zoll I Re t: _l` - -- -
<br /> Retnm�o: �Sp 01004688 Ree: 10.00-
<br /> • � 08/22/13 E. MunT� 0.00
<br /> 9uia, Dp},y Cl�r
<br /> b9110E 0F CO�MA�w�rns r� - ...- I(
<br /> 3tale of Flori�e -
<br /> Co�mry of
<br /> --�D � PennitNo. ; I
<br /> T�x Polio No.�_u
<br /> T�unde�n(g�ud 1�erebygivw noqca[hn[im
<br /> Chxpter 717,Floridn Slxh�tey Ihe followtng InPornmion i� rovided.Bi thia Nodce qf Commui
<br /> prnveipwri will 6e mulA p�''artoin real proparty.n��d in accordaicc.wilh
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<br /> � ���"°, P°�1�y C.�f 5 9—►S..QncA.c.�st u� � r.
<br /> 3' Owncr Inform�tlon or l.esaee Informnliau iClhe Lessea conheclpd fo�q�e improvemen[: � �
<br /> °• Name nnd Addroaa; fl�'
<br /> ��iied �� �,p�
<br /> b. Mterect In Pro •. � -T-'.
<br /> `. Nsmdntklresa���imple lilleholder(iFdifferait¢om Owner lisled oba��s�a
<br /> � ��4. Contractor , ,
<br /> "• Nnme and Addrese; � � /1
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<br /> h. Phone r�.inber. �'Cr 3'C',I
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<br /> PY ofpnp�ypu bpi�d is ptndie�:
<br /> , °� NemE mul Addrcas: y ` ,
<br /> b. 1'honn rnunbw^ '
<br /> "�---- , PiiU�R S 0'NEIL,Ph D PRSCO CIERK i CCMPTROLLER
<br /> � Antauntof'Ix�itl: s
<br /> � 080R BK3�31sgp� PG�3175
<br /> � I 6. Lendw^ � 9Z
<br /> , � e. Mrroa md Addrwse: . --—— — �. _. ._
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<br /> ' � PWlpry6 WIUI�II(I1E S111te Of}' ,
<br /> �wed x�p�,iAeJ by gpclial7l].l3 �IAe Ayl 1
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<br /> ocummts nuY be
<br /> a. Name mrcl nddrws: �
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<br /> , ��' Pha�e numhera of
<br /> dwienated persaia:
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<br /> 6i addiNai tp hk��alCor huael�Otvnerde�'i'�!ptm
<br /> Stntutp----------_�o receive a copy of tl�e[,���'s NW ice hy�vjded in S c(iw�713.13�of
<br /> . • (Kb).Plorida
<br /> �' Phann number of �
<br /> ! . ---.--_� person or en(ity rksf�iale{7 bY�r:
<br /> i 9. Exp6ntla�doteofnWiceof �
<br /> , w�utrix:lMn md flnal pay��n�IxR wlll be 1 caiunemx��(tlw expiretior�dxte msy ipt bc bafore Uk
<br /> . Yeer flrnn tln dale of recun►uig iu�jcst a difl�mR dnro is apecifkd��W--�_
<br /> ' WARNMO'1'O OWNCIZ. ANY PAYMENTS MppE 8 V TFIE O
<br /> � CIUA4N WNfiR qFfER TF�FiXP RATfON OF
<br /> , �1�MMENT'AItE CONSIDB[tED IMPROP&R PAyTv�CN7'$ T��TICFi OF .
<br /> � , FLORIDA STA ���R`C�TER 13.PAR7't,$.
<br /> ��•�D C��' UL7'IN YOUR PAYINO T W ICg F'. i �ON 717.13,
<br /> � ...A NO'�'ICB OF COM�.tRNCC�M. QR'�RO �'S TO YO�PROPNRI'Y
<br /> ��8��CORUED iWp ppS��'ON TFIE J B SITE DEFORE'IN�FptSf
<br /> �NSPEC77pN. II�YOU IN'IEPIp TO OBTAIN(•7NANCINO.CpNSUL,T NV17i�t YOUR
<br /> BEFORE C�1DEIt OR AM A�-rp�Y
<br /> C�M�''�MQ WORK OR RECORDB�1p ypUR NO'ftC6 OR CO�NG�
<br /> Umfa pwinl�ka of er u T -
<br /> u 1 n'.1 declnre Umt 1 hsve ronJ the foregoing N���nf Cwnmeneunen� u�d Umt�he 14c1s a�eiW n���ue
<br /> Ima lo Il�e b�sl oFmy kiwwlecige and belief.
<br /> 7�` �It/ui r �...4 �
<br /> (Signelure pfOwira w ,or wna a w��' Leuc��s
<br /> Autlarized qRica/D• uce
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<br /> ,h;� Sig�ie�� y ����
<br /> STATF,OP_��u�� �� -
<br /> COUNTY OF
<br /> ' ' �� r:�t., .
<br /> •• The Forogoing 4uNntmeiu wna ncknawled � .rA'� � ������p� t
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<br /> Penon�lly Known �� OR Producul lda�qfication,� n� Na na: :, '�
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<br /> MY�ommissi�� i' •'��%�'•,, , CHRISTIAN:RYMAN ' %
<br /> �,, � yF�hAlit��a OI Flal� -
<br /> � ' �q�i!Exqrtl Jan 2�,�016
<br /> � •��ComnUftlOD r►EE 1�Z5�0.,j
<br /> ' " � I '�,�.u1� lond�0 lWion�l <Atfi�.� .
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