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<br /> � i illlll Ilill IIIII Illll�lill illii 1�IIl lilll Ildil 111111I1111i1
<br /> , , 2015009188
<br /> � � --- --- ------ --- -- ---
<br /> Permit No. ParcellD No��;����1 �`� �� G��•t-�• t,�.J�C,1
<br /> / rsoT�c� oF connnnE�cEnn�HT� ,
<br /> State of ��(/��ii�'�.."' County of vKJ-"�;�(/
<br /> THE UNDERStGNED hereby gives notice that improvement wi{I be mada to certain real property, and in accordance with Ghapter 713,Fiorida Sfatutes,
<br /> the following information is provided in this Notice of Commencement: �^
<br /> 1 Descriptian of,Praperty� Parcel idenfification No. �� '�{,� "�J' /�,��/) •(J�/�'"��� • �J!?,�G.'
<br /> 5treet Address: � � C� ��"'" /I. V � z
<br /> r �/ �
<br /> 2. General Description of lmprovement � -f --�-r-• R�p{,:�71}1785 Ree: 10.0Y1
<br /> D5: 0.00 IT: 0.00
<br /> , , 01I2012016 K, M. , Dpty Cl+erk -
<br /> 3. Owner I formation or Lessee information if tlie Lessee contracted for the improvement: -__ _-------—_------- --
<br /> l t l
<br /> ,1i7� /' Nam �. � ,��v� • �
<br /> Address ,� /�,,, Gi�[}���� Stake
<br /> InterestinProperty� /:��"/'�'""`� -- — pRULA S 0'NEIL,Ph D PqSCO CL.ERK & COMPTROLLE�
<br /> Name of Fee Simple TitC�o�der. 01120f2016 10;59am 1 of 1
<br /> (If different from Owner listed above) dR $� �,�j�� PG ��,�,�
<br /> Addrass Gity State �
<br /> 4 Contractor:
<br /> „ �p�L"�i U N a��� .!� �'�2'. ¢�r�f�'Qi
<br /> Address +j t/ State
<br /> Contractor's Telsphone No.. �✓�~ �'� '����
<br /> 5. Surety:
<br /> Name
<br /> Address Cify State
<br /> Amount of Bond. $ Telephone No.•
<br /> B. �, Lender:
<br /> Name
<br /> Address Cify Skate
<br /> • Lender's Telephone No.: -
<br /> 7, Persons within the State of Ftorida desig�ated by the owner upon whom notices or ather documents may be served as provided by
<br /> Section 713.13(1)(a)(7),Florida Statutes: ,
<br /> Name ,
<br /> Address City State
<br /> 7elephone Nuinber of Designated Person:
<br /> 8. �n addifion to himsetf,the owner designates �f
<br /> to receive a copy of the Lienor's Notice as provitled in Section 713.13(1)(b),Florida Stakutes.
<br /> Telephone Number of Person.or Entity Designated by Owner
<br /> 9. Expiration date of Notice of Commencement(the expiration dete may not be before the completion of construction and final payment ka the
<br /> contractor,but wiii be one year from the date of recording untess a different date is specified):
<br /> WARNING Td QWNEf2: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATIClN OF THE NQTICE OF COMMENCEMENT
<br /> ARE CONSIDERED Ii4SPROPEft PAYMEiJTS UNDER EHAPTER 713, PART 1, SECTION 713.13, F�Oft1t7A STATUTES, RND CAN
<br /> RESUL7 IN YOUR PAYING TWICE FdR IMPROVEMENTS Td YOUR PROPERTY. A NOTIGE OF GdMMENCEMENT MUST BE
<br /> RECORDED AND P05TED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
<br /> WITH YOUR I.ENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
<br /> Under penalty of perjury,I declare that I have read the foregoing nofice of commencement and that the facts stated therein are true to the best
<br /> oi my knowledge and belief.
<br /> STATE QF FL�FZ{DA � I ,.�,,� �
<br /> COUNTY OF V`�
<br /> . t!'i'tY Pp8
<br /> CHRIS HEIGESEN ignature oC Owner o Lessee,or Owner's or Lessee' ./Cuthnrized
<br /> r°:'.,l'���;°o fiAY COA+1M15Si0N#Ff82Q719 QfficerlDirectorlPact erlManager
<br /> ,�� EXPIRES:SEP 22,2019
<br /> °F� 8onded throngh i st State lnsuranae
<br /> Signatory's TltlelOHice
<br /> --"�Che,foregoing instrument was acknowledged before me this�day of ��i►�,2��„Q by
<br /> ` ---- as- —__ _ (type of autnorify,e.g.,afficer,trustee,atfomey in facf}for
<br /> � ��� (name��p^_��eha of whom instrument was executed)� ____ -_-
<br /> Personatly K�own�OR Producad identiFication� Natary Signature ���` '-- - --
<br /> Type of Id"e�tification Produced �t' Neme(Print) ��nir"i s LLe�G n ��-.''
<br /> wpdatatbcstnoticecommencement pc453048
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