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i iiiiii iiiii iiiii iiiii iiiii iiiii iirii iiiii iiiii iiiii iiii iiii <br /> - 2015116800 <br /> Rcpt:1700009 Rec: 10.00 <br /> !Cey i�o� Permit No DS: 0.00 IT: 0.00 <br /> 07/23/2015 K. R. M. , Dpty Clerk <br /> ���'�� �F ������������ 'pRULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER <br /> 07/23/201����m 1 ��� _ <br /> THE!D�lDERSIGW��hereby gives notice that improvement will be OR BK PG <br /> Made to certain, and in accordance with Chapter 713,Florida State <br /> Statues,the following information is provided in this iVotice oT �l�_� ._2�_ p iDD� DllX�vo����'� <br /> Commencement: St{7 g�'►r��Q.H<<.�.. 17CtAV E, <br /> 1. Descripfion of Property: Parcel IVo.: l,art'�$S,��w�ct.���Sv60►v�sw.� - Ze�y���+-S,F�- 3'S�t2 <br /> (Legal description of the property and street ad ress ir available) <br /> 2 General Description of improvement: / ] � <br /> IZe -_' - �- c� �« 2 t�� R.�1'1��z-cl �ad� <br /> 3. Owne Information: Name: � <br /> Addr�ss: 1 Cifiy c Stafe_Zip (o�p <br /> lnterest in ProperEy: Oc.�a� �S <br /> �lame and,�ddress of Fe� Simple Ti�leholde�r(Ifi olh�r than owner) : <br /> St�r�r. ws Ac3wn... <br /> 4. Contractor: �lame: TLC ROOFI�9G LL.0 I <br /> Rddress: t'O BOX 1745 I City DADE CITY State FL Zip 33526 <br /> Phone No. 352-473-4073 Fax No. 352-473-4073 <br /> 5. Surety: Name� Amount of Bond: � <br /> Address: I City Stafie_Zip <br /> Phone No. I Fa;c No. <br /> 6 Lender: i�ame: N/pk I <br /> Address: —� Cifiy State_2ip <br /> Phone fVo Fax No. <br /> 7. Persons�nrithin the Sta��of Florida designatec3 by Owner upon whom nofices or ofiher documenfis may be <br /> served as provided by Sec#ion 713.13(1)(a)(7) Florida Stiafu��s. <br /> Narne: � <br /> Address: I City State_Zip <br /> Phone fVo. Fax No. <br /> 8. fn addition�o himself or herself, Owner designafe$ ��pF or' <br /> I <br /> To r�ceive a copy oi the Leinor's Nofice as provided in Secfion 713.13(1)(b), Florida Sfatutes. <br /> 9. �xpiration da�e or Nofiic�€�f Comrnenceme�t(�he�xpiration dafe is 1 year ofi recordie�g unl�ss a dififerent <br /> dafe is specirtecE.) � <br /> U'dARMIt�fG TO O!flffiUER:ARlY P,4Yt69EiUTi S t�7ADE�Y 7HE 011ilRfER AFTER T9iE EXP(RfAT10N Or=TF4E NOTICE OF CQfil�M�ft10EMEAJT�.RE <br /> COtUSIDGRED I�1t�PROPER PAYM�{UTS URIDER CI-0A1PTE42 713,PART 9,SEG 793.13,FLOR1DRa STlaTUTES,d.ND C,4N RESULT IM YOUR <br /> PAYIRIG NIlIC�FOR Ifl9PROVEIL7�RITS TO YOUR P620PERTY.A RtOYICE OF C�N1�1ffiEtVCEfL7EN7 MUST BE IdECORDED�,P1D POS i�D O�1 THE <br /> JOB SIYE BEFO E THE FIRST 1{USI�ECTIORf.IF YOU I�fTEfdD TO OBTR�IN FIAIAWCIPiG,COMSULT 1fUli'F�9 YOUR LEtVDER�02 AtU ATTORPIEY <br /> B�F01?E COfi41iU1 �IiUG Ot@W 062 iSECORDIMG YOU6t 6ltOi7CE OF CORf1t1AE6JCE@liEPlT. <br /> � ` <br /> Signature of Owner or er's Auth �zed OfficedDirecfodPartner/Manager Signa4ory's TitlelOfBce <br /> '"°Signatu�e Require belovr C�y'X"anark�"'" <br /> State of ��ir]S 9 S County of �zr{.c,�✓i c,� <br /> The forgoing insYrument was acknowledged before me this�day of�1,� ,201$by ,�_P,5/.-� L�rn,-�� <br /> n I j � ���� (Printed name of person acknowledging) <br /> aS 1V Ot�i/L./ �U,��L f <br /> (Type of authority e. .,office,trustee,attomey in fact) {Name of party on behalf of who instrument was executed) <br /> .`�" �L�n� <br /> Signature of Notary Print °lflottary�'u�+c- tate of -nsas <br /> Personally known�OR Produced Identification <br /> Type of Identifir,�tion Produced: I My Appt. Expires p g 3v/���5 <br /> bea�cafion purss�an@ to Section 92.625,Florida S4a4aa42s:under Pel alEies of Perjury,f declare 4Na4 I hade�oad fhe foregoing and 4hat 4he fac4s <br /> s4ate�in it are true 4o the bes4 of eny{cnowledge and b�lieS. <br /> - - -- - I <br /> � <br /> . i <br /> . • ._ I <br /> � <br /> I I <br />