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14-15608
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2014
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14-15608
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Last modified
8/27/2015 7:52:19 AM
Creation date
8/27/2015 7:50:20 AM
Metadata
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Building Department
Company Name
MAJESTIC OAKS
Building Department - Doc Type
Permit
Permit #
14-15608
Building Department - Name
NHC-FL 115 LLC (THERON,GAIL)
Address
3803 LACOSTE ST LOT 145
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�- <br /> , - c.�y e� ���-1� , - - <br /> , , ����������������������������������������������������������� <br /> PASCO PERNiIT SERVICE -' - <br /> (813)788-53�4 Repl:1 24496 Ree: 10,00 <br /> FAX1-86�-824��g4 DS: 0. 0 IT; 0.00 <br /> 08/22/ 4 D. Bonflla, Dpty Clerk <br /> NOB`IC�OF COM1Vg11VIENC�NYIGN'g' <br /> PRUL S 0'NEIL,Ph.D Pp5C0 CLERK B COMFTROLLER <br /> 08/ 2/14 13:23a 1 of 1 <br /> PermitNo. ' 0 BK 907� P� 852 <br /> Property Identification No. �7-y'�a -oZ� Od dd-�QJ'0(J-/pZ/� <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real roperty,and in accordance with Section <br /> 713 13 of the Florida Statutes,the following information is provided in this NOTICE OF OMMENCEMENT <br /> I Description of praperty(legal description:) L / � s <br /> a)Street Address: yv �C ' <br /> 2.General description o�mpr�emen : / � �I <br /> � <br /> 3 Owner Information �;L `� <br /> a)Name and address: �p � ,/L° � - 3$03 .�4c S�' �C i( {�L 3 3 3'�-C a �.�. W / 1 � <br /> b)Name and address of fee simple titleholder(if other than oviner) � z („) �R w <br /> c)Interest in property � 7 = Q =� J � <br /> 4 Contractor Information •/,, / ,/ } <br /> a)Name and address:� Uy� - .�� • �p y D � �C.(�t /� �� t'4 U � J � <br /> b)Telephone No. Fax No.(Opt. � � � O = Q N � <br /> 5 Surety Information � �� � F- w <br /> a)Name and address: � O = z J 0 <br /> b)Amount of Bond: y. � {- p Q <br /> c)Telephone No. Pax No.(Opt) E-- W � � U <br /> 6 Lender • � � O O ' � <br /> a)Name and address: � W , <br /> Phone No. �U = �U p <br /> 7 Identity of person within the State of Florida designated by owner upon whom notices o other documents may be served: �� � J Q <br /> a)Name and address: p } U m � � ' � <br /> b)Telephone No. Fax No.(Opt) <br /> OC — w � Z O <br /> 8.In addition to himself,own°.r designates the following person to receive a copy of the L enor's Notice as provided in Section (� � � LL Q >- W <br /> 'ls 7"s(I)(bJ,rlorida Stafutes:- - - �-- - - � J � � } p <br /> a)Name and address: <br /> b)Telephone No.• Fax No.(Op ) �� � � O� <br /> 9 Expiration date of Notice of Commencement(the expiralion date is one yeaz from the d te of recording unless a different date is �yy �� Q J w Q <br /> Specified): }- � W � �� J <br /> f`�' S � Z — `� <br /> � Cn �- f- O � � m <br /> WARNING TO OWNEFt: ANY PAXMENTS MADE BY THE OWNER AFTEI2 T E EXPIRATION OF THE NOTTCE OF <br /> COMM�NCEMENT ARE CONSIDERED IMPROPElt PAYMENTS UND�R CH TER 713,PART I,SECTION 713.13, _ <br /> FLORIDA STATUT�S AND'CAN RESULT IN YOUR PAYING TWICE FOR IMP OVEMENTS TO YOUR PROPERTY. <br />' A NOTICE OF COMMI;NCEM�NT MUST BE RECORDED AND POSTED ON JOB SITE BEFORE THE FIRST <br /> COM CTION. I�ORK OR ECORDING YOUR NOTICE�O OCOMM NOU� ER OR AN ATTORNEY BEFORE ���,� � <br /> .` � � <br />' '�""r`�'' STACIE LYMPI HARTWIG �, <br /> STATE F 1�� , <br /> s�� MY COMMISSION#FF064897 •° � <br /> COUNT �, <br /> ;•',;�o'r'i;,d! EXPIRES Octobe�21,2017 Signatur er er' Au orized Officer/Director/Partner/Manager � d i �' <br /> � � � <br /> (407)398�0153 FloriGallota Servlce.crom �/� _ - ,�� °„_ � � m � <br /> � ��.. <br /> c�°" <br /> Print Na aa y� <br /> � r. : �+C� �v a' '�''E <br /> '/ �" / .'rr �.`l'21: <br /> The foregoing instrument was acknowledged before me this f day of 20�Y,by l�1� �/�2f�(/f � " ',� �� <br /> as (t> /'� (t pe of authority,e.g.officer,trustee,attomey � ' '���,�j� <br /> in fact)for E J C (name of pazty on behalf of whc m instrument was executed). � � � <br /> . �� �5.. <br /> ��i��/G��2� � <br />' Personally Known_OR Produced Identification x Notary Signature �� Z � ' ,�; <br /> Type of Identification Produced ✓�- Name(print) �/ ��' � /�� ��"`' '�"`�� <br /> Verification pursuanl to Section 92.525,Florida Statutes.Under penalties of perjury,T de la at I have read the for.egoing and that <br /> the facts stated in it are true to the best of my knowledge and belief. ' <br /> � , <br /> Signature al Person Si ning Above <br /> FORMSMOC,rv5d2D07 <br />
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