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i i�siii iiiii i�i�i iiaio iiiii sii►a aii�a iiiii oe►ie i��►►��a► 2016063027 ' Rcpt:1765559 Rec: 10.00 D5: 0.00 IT: 0.00 �ermit t�iunber 04/22/2016 L. S. , Dpty C 1 erk _ --- --- - ---- -- - - - - -- - --- - -� - - - - - - - - - Pacce4 I��lumber 1��.2�'-.-- �.f_�-.c�r.5't-p--=.�QotD �-Ca��O PRULR S 0'NEIL,Ph.D PRSCO CLERK & COMPTROLLE� �y � '�' � � � �� 04/22/2016 03:50 m 1 of 1 State of Fiorida OR BK �� PG �� TN� Li�i�ERSl��1��3 her2ny g��es n�frce tnat impr�v�ments�vilt�e made to cert�;�re2i pr��er#�j. and i!;arsor�ance�n��th �ectior: 713.rf3 0�t±�� F!o�da Stafufes,€he�olfov�ing informatiort is prov'sded in this�1�T1��0�Gf3�t;UJEiVCE�IEi�T. � 1.Desc:iptiort of property�lega!descri�ti�n): ��e�z�G�o�r��f��'� �c7 7`-�� - a)S�reei�jab)Address: �~j � ' � - �u�c��'o • . ,3 l ��3 -../� .�G� _ 2.Eaenera3 deseri�eion�f imprav�r�afts: Gr�-rv 5��-t.w��c��,� Clec�7 e�c�.�p��s��y�� - •- - - - - -- ---�'`��f.,�el.�_.eL1 c/�Q�'6�� .------- -- - - - -- - 3.Owner Information or l.esse2 infarrr�atian if ihe LessEe conuac�ed f�r the irr�provemen�: a)�Iame and address: ��e��t�s'�/�dir� 3�7..�I�%��oc�vvc��e�a,p, �e�a�y1-G.`lfj�G c , � r ' a b)iVame and addrsss o#f,.e�im�ie��leholde, ��dift�ran�itaan O��rzer l�st..d above) 3jS'Y2 c)Interest in proper'ry: �,,��y - - - -- - - - - I 4.�ont�actor It�fia�mation a)Name and addr� �/�yy,p�S'�G��3� y`zi Z 2/�F-c�2��e h l�2�c�� j�r-r�c�a��'G �'�61�'/ b)Te(epYtone N�.: �37._. _9��3 --._'��'.S��{�. .._ t=ax iJo.:�aptional) -- , 5.Surety(if applicable,a copy of fhe paymenf bond is atYached) a)Name ar+d address: b)�e!e¢hone iVo.: - ---- - - - - - c)Amounf of Bond: $ - - --- - - � ---- - --- - ----- 6.Lender a)Name and address: b)Telephone tVo• 7.Persons within the S�ate of Florida designated by Q�uner upon wnom natices or ofher�acumants�nay be served as provided by Seciicn 713.13(i](a)7.,�lorida Statutes: • a;Name and address: b)ieiephone No.: _ Fax No.:(aptianalj - -- - , 8.a.fn addition to himself or herself,Owner designates o� io receive a copy of fhe Lienors Notice as provided ir►Sec'von 713.13(1)(b),Florida Sta:�ies. b}Pho€�e Number of�'erson or en�_ry��signated by Owner. 9.Expiratian date of notice of commencement(the expiration datz may not be befor2 the complefion oi cons'rr ucaon and�nai payment to fne contractor,but will be 1 year from the date of recarding uniess a different date is specified): ,�p WARNING TO OWIUER: ANY PAYMEfUTS iUTA�E 8Y�1-lE �W�ER AFFER THE EXPlRATfOtv�OF THE NOTIGE OF COMflAE�lCE�/iEiVT ARE CONSIDERED IMPROPEi2 PAYiVfEfl1TS LIN�ER CHAPTER 7I3r P4RT!,SECTI0�11773,13,FL�RI�I�ST�TUTES,AN#'��1�!RESULT I(+!YOU(Z PAYi�iG TW�Cf �OR IMPRJVEM��S TQ Y(ltlR PRfl�'E�tTl`. R NO3lC�OF CUi�iN{E�[CE�iIENT iU1tiS�' SE RE�OR(3Efl Ai�D�QST��3 ON W THE JOB StTE B�FORE TH€ FiRST (NSPECTI�i�. iF YOIi 1f�TEND TO O�TA)N FiIVAf�ClfilG, CONSlJLT i�111 H YOUR L�NDER �R A�1 � AT30RNEY BEFORE COMMENC(NG VUflRK QR R�COR�ING Y£3UR NOTiGE 4F COI��AENCE1�ENi. ------- - --- —---- -------�---- -------------- -------------�---- -------- - --------- ---- - ---- --- -- Under penalty of perjury,I dedare ihat#have rea�the foregoing notice oi cor�mencemenf and fhat t�e facts stated t�erein ar�fftJE iG f�12�12S$Oi iT?y ledge an elief. ' � - - - - - - - - ------ -- - - gn ce�t n � ,or vners or Lessee's{Authorized.0ficarl0frecfor,Parnaritvianaaer) (Prin#�Iame ard�rovida Sig�lB�OP%5�IU@IQN�iCP� The#oraroing it�stn�: nf�as acknowlsdge�be€ore me f�is f.� _ , day o� �a V�I'l _. ,24 (lp. . �Y 1`i C(�1et V�C� fl/lC'in 1� �s (tfga e;��i;�criry,a.y.e�cer,�ust�,at�cme°�iz:r.i; - - - -- ��l,tiJ--V'tP��'- '- - - - , T0� .�5 (Nama of?eron} --- - tiYP�oF aui'nority,•--e.g.am`ce; �s*e=_.a�omey 3n�aci) ior (:�a�-�e��ar',y en Denaff o#urh�,n in�in+n��;r�s�„e�ie��i. P9fS0li8il�KfiO4vi1 � �ro�sc�c!� � • iype o�1D �ietar�Signaiure Prinf name _ _/-{-1�X 15 _. S 1.1�I._� - - °"a"-P°•. A��XO� F�SI��LLE :�•�' �k:. :,,,�, �_ MY COMMISSION#EE866194 ,,~CIGh{h�`� EXPIRES January 17 2017 �4U7�39U-U753 FlondalloteryService.com --