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( ' <br /> iVQTICE�lk CO1�i1VYE?�7CEi�iJENT <br /> Permit Nc�. <br /> Property Iclentification No. <br /> 'I��E ITN`DERSIGh4ED hereby gaves notiee that im�rrovements will be made tn certain reai property,and in accordance with Sec�ion <br /> 713.13 of th��'larida Statutes,the fc�llowiag info�matian is provided in the N{�T`IC�flF Cf}MM�',i�CE�YIFN'C <br /> 1. Descriptian of prope (leg al deserrptian: <br /> a} Street Adciress: �330 20#h Street ep yr i s, <br /> 2. General descript�on af improVements Main Filler Room HVAC Upgrade, Replacement and A mg quipmen <br /> a. Owner Informatipn <br /> a) Nxune and address: �estle Waters NA 1322 Crestside Drive, Ste.100 Cappell, TX. 75019 <br /> b} Name and adiiress af fee simple tit3eholder{if other than awner} <br /> c) Frlteresi in progerty . <br /> 4. Contractor Tnformation <br /> a) Name a��d address: �ontrol Design Electrical Contractors 1027 Kathleen Rd. Lakeland,FL. 33805 <br /> b} Telephone Na.: (86�687-4246 Fax No.(Opt.} <br /> S. 5urety Information <br /> a} Name aud address: <br /> b) Atnount afBond; <br /> c) Telephone No.; Fax I�To.(Opt.) <br /> 6. I.cadcr <br /> a) I�Tame and addFeSS. <br /> 7. Identity of person within the Sfate ofFlorida designated by owner npon whom nqtices or otl�er documents may be served; <br /> a} Name and address: NK',i#�1'L-1. (�'utt.wt�l� ''�j33d 20� 57/tc��i"' Zc.'�PN'�12{{G'Zi.S f[. 33�'ll� <br /> b) Telepht�ne Na.: Fax No.(t}pt.} <br /> 8. Tn addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as praviiled in Sectinn <br /> 713.13(1)(b),�'lorida Statutes: <br /> aj Nam�andaddre.fis: fZo,��^2'r S142N��L�Ytt7t3 �3�ta ��--�' SNk'�C' 24�K'�►�i�ttt,L$ FL �3$��0 <br /> b} 'I'etephane No.: Fa�c No.(Opt.} <br /> , 9. Expization date af Notice c�f Co�nmencement(the exgiratiaFl date is ane year�rom the date of rceording uniess a different date is <br /> � specified): <br /> i�4'��ZNi'�IG'FCD OW:�T�R:A�Il'PAXN�ENTS�.d�I�BY T�I�Ot�t'NE12 A�`C'�32'�"Ti�;l�%I'IRAT%(7N OF THE NtDTICE U� <br /> C(DNdMEI+I�C�M�1�T'AI2�C�NSII1E�i3 I1V7F3Ett�P'��2�'AYMIENTS UI�ID�Yt CkI.A�''A"Elt 713,PAR'i'1,��CT�C31ti 713.13, <br /> F'LCD�DA S1'AT�:.JT�S AN�t CAN RESULT IN YOU�2 Y'A�IING TWICE�t1R YPROV�14�fE1V'TS'F47 Y47UR PB.2Qk'�k�TY.� <br /> Ntq7'ICE G1F'�Q7MRfi�tEN�EN��NT lt�tJS"�"B�R�CCD&�D}EI�AND�OS"Y'�]D C}iV T�.�ClJB ST' �7C�E FI�'1' <br /> 3T�ISPECT�t�1�.I�'�'C}U INT1EliI�`i'C)t3BTAIN ETNANCING,C{3NSUL'�`�'CiiTR I�lEN�DE O�t Ari AT'I RNEY BEFCIRl; <br /> C�[1�Ii1�+IriCliOt�;�IOR�£0�2.4�C�}�2D�4'G YOU IVE�T���{3k'C4�MI�NCEMEiSt'i". <br /> . � <br /> S'CATE OF'FLt3RiDA �� <br /> ca��vT�r o��nsc4 <br /> Signature�F Owner or thvner s rizetl OfficerlDirectarlP r/Manager <br /> j,t.(�C!-f��Z . �u��r�t C..�Z_.� <br /> �� Print N e <br /> ThE f r goi g instrument was acknowled�ed.before tn is�� day of (�� ���M,2Q I J,by G(;�C�� <br /> _��.� � � type of authority,e.�.officer,hvstee,. tt�rney in fact)for <br /> ° (n e of pariy on behaif of w m strucnent�was e uted}. <br /> Personaily i{nowa V OR Produccd Identificaticrn h'otary Signature U✓G �����d� <br /> 'Cype of Identification Produced � Name(prinx) �,� ��t,t <br /> T "puntOHiiuu�pryiri�f <br /> � 1�erification pursuant to Sectiun 92.52�s��ti�'��....�..u,j,��b�V�der penalties of perjury,I decla that l have read thc foregaing and that ihe facts stated <br /> I in it are trve to the best of my know��i�d�t�',�.�y•. ,�,j��r <br /> FQRMS/TvOC.N9d�.QO7 .,,, � � <br /> � : �Q j�s '�'r' Si�nanve ofNatuml Pecson Signing Above <br /> ~ b C'31��097 .» <br /> �l�•, ' � <br /> %,�,��!�41cr. •,�`°` <br /> `'f/rii ES COU ��``'� <br /> /��///////111 I I I 41111 l 111\��,\ <br />