PERMIT DOCUMENTS •
The=deraigne]trashy given nota that improvement wi l be made to cumin real property,and in accordance with Chapter 713,
Florida Somas the following tbrtnatioo is provided in the Notice of Commencement
-
I. neacIRHON OFPRopmy(Legal description and mat address,ifawilohle)TAX rouONoamrll:O I- "3-V = U -Onj
Q hoz-o(7
SUBDIVISION ' TRACT LOT // BLDG UNIT
�0 yni hi CA-/C53 L s . -
2.GENERAL orscao0Aov> ice fJ,Jlrl Oon.Ji Arlo DozmA co;A.- /�TAifn,ru•/d
Malt 49An..ro o,� v rIVP20 )
3. OWNER DffOAMAIION: (Name �fF/4fn/ y 14-6 L �M • al o 0 Zr Or g rw z
pp d tiro et
B.Ammo, N If)UY7U4 I:44e, "SI vi,„J EJ dA041, fL 3c3w b'Pwea ow.✓C S O r RC1 Dd
ANmaaadaamcs orfsde,r aamdee floated®oaUN) SFMJ. • , S ro 17 x 0
4. CONTRACTOR'S N10SS AND PRONE BOMBER: ea
-U.� -LA/(fL4-5t- n-- eft' v✓v✓oovds a.✓0 OOvn5 WC. — 6altil I-a s�
fviv PiLd S/ W /2.04o• y OF!- 43 Pdnsc, ii- 333'3✓ etlgl o 0 H w• c
5. SURETY'S NAME,ADDRESS MTI PHONE NUMBER AND BOND AMOUNT•//,_ n o 0 [T
6. LET'DER•sNA1 ADDRESS ANDSHOPSNUM ER: //0 AMOUNT* a, r Ui e
N 12 1... L7 I.+
7. Persons within the SIM of Florida designated by Owner upon whom notices or other documents may be served as provided by a 0 W S
tor
Secton713.13(I)(a)7.,Florida Stables (714i. w e e
co
NAME.ADDRESS AND PHONE NUMBER: N1 = Co .D 19
It V 1,) s
S. In addition to himselfor henrI Owner designates the following to receive a copy of the Lienor'sNotice as provided in Section
713.13(1)(b),Florida Statutes - a.
NAME,ADDRESS MO)PHONE BOMBER:
9. Fxpiiationdale of notice of commencement(the expiration dale is I year from the date ofrecording unfess a diferem date is
specified): 5-al Li a 20(o • .
WARNING TO OWNER:ANYPAYMENTS MADE BY WE OWNER AFTER THE EXPIRATION OF THE NONCE OF COMMENCEMENT
ARE CONSIDEREDIMPROPER PAYMENTS I(NOES CHAPTER 713 PART I SECTION 71513 FLORIDA STATORS AND CAN
RESULT M YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMNffNCFM NT MOST DE
RECORDED ANOEDER OE AN I R F7HENCINGWpR OR FFYOUYOUR TO CEOFCOMMENCEMENT.
O 4NCEMENT-
RE ORDFD DER FOOTED NA B COMMENCING FIRST
IR TOWORK CTION IF WIt!INTEND
TO OBTAINFCANITNO ransuu
FMENU.
Ja�
dl. TOf+6r,.l
Sign.( a nor Print Name md AOWtleSISIIB y'silOeiDlace
Owo s Authorized O cer/D rmer/Managa
Stam of Florida -
County of Palm Beach,
T �_
The foregoing instrument was acknowledged before me this /L day of r&d 20 /co
By To4a/•J IJ7rt-en— es 0‘4,-.1.5"\--
- (name of person)
tJni "\--
(nameofperson) (type ofawhority,..Leg officer,trustee,attorney in fact)
For
](name of party on behafalwhom instrument was awned) -
1 ._ .,,. - ,...... . ideailfedon: / .
��'�'e P PATRICK A CIBENE me P �j
•( �• "MY COMMISSION etFF13I.i0t -
Id. (Signature of Public)
.mw EXPIRES July 20, 2016 , '
. 40?)5114187 FloddalloteryServi -c•m '
Under•. ,... .� ,. .,, _.. .. . _.'..gaDd shat the Gets in it an;tmemthe hast of my LRowlMg:and
belief(Session 92525,Florida Statutes). /
�)ofLOOv/,eaj�Ao•�- OfveeND'avmr/Pumv/Mmnger whorigard aaavc •
BY 1// [[////�'r r By
Rev.0 Rte) •
4STATE OF FLORIDA • PALM BEACH COUNTY
Pi
,e,N.COMs q@\a I hereby Certify that the tamping Is a
-z n D n 4 true copy of the record in my Office with
`e F 4• redactions. II any as required by law.
...54�rM C➢N•�ii. THIS ]DAY OF Ce� @.
Ol
SHARON R. BOCK
CLERK&COMPTROLLER
By
DE UTY CLERK