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A � I IIIIII II�II I�III IIIII�IIII IIIII II�I�IIIII ill�l II�I�IIII I��I <br /> 201607341�i <br /> - �---- -- - <br /> PermitNum ber Rcpt:177017� Rec: 10.00 <br /> Parcel ID Numberf�_2(O-o?l-dD/D-0�lGao-�o3S DS: 0.00 IT: 0.00 <br /> 05/11/2016 PC. M. , Dpty Clerk <br /> PRULR S 0'NEIL,Fh D PRSCO CLERK & COMPTROLLER <br /> 05/11�2016 �1g1:06am 1 ogf 1 <br /> ---�R-. BK__�e�7��__P�__L��� <br /> NOTICE OF COMMEiVCEMEN� <br /> State of Florida <br /> County of ��s� <br /> The undersigned hereby gives notice that the improvement(s) will be made to certain real property, and in accordance with <br /> Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. <br /> 1. Description of property(legal description of the property,and street address if available) <br /> address ,�904/ /°/ � ST ��(�//9�i4/,fi[.Lj' FG 33ryz <br /> Legal Description ZN PBl P6.rLJ S Zo FT oe� c� %a oF �aT3 g�p/ �/z or G�% y ��/(n FT vF <br /> �/ '/Z o�Go�s' 3u< y� ok 9 2�/ pG s�'r� <br /> 2. General description of improvement(s) <br /> fn//a/lJOttif ��oo� /�1r7'w.FCGr�+�-sJT <br /> 3. Owner Information <br /> Name/�/a�4/� ,h1 GL�/�G''� Phone&Fax Number 3�Z- y67-oySq <br /> Address5$D`f /9tti ST 2�/�f�{��/�iLG-f' �2 33Syy <br /> Interest in Property ��✓/�� <br /> 4. Fee Simple T'tle Holder(if other than owner shown above) <br /> Name Phone&Fax Number <br /> Address <br /> 5. Contractor <br /> Name ��� In�ll�v(N.f °� ��a�f Phone&Fax Number �/07`��!��(oOL� <br /> Address �SU Si n(-0 �f3+�/ l,�} l�r(�,WDoO �t. 3a?Sv <br /> ,' 6. Surety(if any) <br /> / NameN�A Phone&Fax Number <br /> � AddressNlA " <br /> 7. Lender(if any) \ <br /> NameN�A Phone&Fax Number <br /> Add ressN/A <br /> 8. Persons with the State of Florida designated by Owner upon who notices or other documents may be served as <br /> provided by 713.13(1)(a)7, Florida Statutes. <br /> Name Phone&Fax Number <br /> Address <br /> 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in <br /> 713.13(1)(b), Florida 5tatutes. <br /> Name Phone&Fax Number <br /> Address <br /> 10. Expiration date of IVotice of Commencement (the expiration date is one year from the date of recording unless a <br /> different date is specified: <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWMER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA <br /> STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF <br /> COMMENCEMENT MUST BE RECORDED AND POSTED OIU THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO <br /> OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE <br /> OF COMMENCE ,,�y <br /> 11. �'� — .l'�,/,]-,IQi� .�/ LLif�GL'� <br /> _ _ _ Signatur .of_Ow ers or wners Authorized Officer/Director/Partner/Manager Print Name - " <br /> - - - /yjAae/� <br /> Sworn to(or affirmed) Scribed before me this�day of�2�L ,20 /� by �/LL//✓�'�' as <br /> (�lv,s2,t,� (type of authority, e.g. officer, trustee, attorney in fact) for S�� (name of party on <br /> behalf of whom instrument was executed. personally known to me or produced <br /> as identification. <br /> �: — <br /> �"'�o°'- JOFlN H CHRISTIANSON <br /> r°�R °-�" <br /> ' Commission ;# FF 184388 <br /> (Seal) _` ,'� �= Nly Commission Expiros <br /> Si na ry fNo ary '' ��T' D.ecember 1 8, 201 U <br /> /� ��OF fiD4`�� <br /> / � �7 �-J���,fl.�' i,ni„���` <br /> Na (print) "���'�"� <br /> --AN D-- <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare at I have rea -the foregoing and <br /> that the facts stated are true to the best of my knowledge and belief. � . <br /> � <br /> Signat ry of urel on Signing(in line N11)Above <br /> , , � / <br /> � <br />