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: . i uiui iiiii iiuiiiiii iii�iiiii iiiii iiiii iiiii iiiii mi iiii <br /> 2�'I fi�27�07 <br /> I Re t: 1749905" Ree: 10.00� <br /> P <br /> DS: 0.00 IT: 0.00 ' <br /> itf0"�'10E O��CQAIVL'VI$NCE14�E:Y'T 02J23/2016 eRecording • <br /> Permit�lo. - <br /> Property Identification No. �ti-zs,z�-oo�o-o3anao��s <br /> TFiE C�ERSIQVED hereby gi<<es notic�that improvements wiil be made to certain r�i property,and in accordsnce with Section <br /> 713.13 of the Florida Sf,atutes,the fc�llowing inform3tion is provided in the l�TtlTT����COl�IMENC�l9.E1VT. <br /> 1. Description of property(legal descripPiota:)�����Y*���'���ast 1@ ai bts 13 ti 1516&17 tess nath 12 FT cf bt 17 61oek 34 <br /> a) SU'C0L Add1'BSS:38309 12�h Av9.ZepANhuls.PL 39542 <br /> 2. General description of improvements a�-a� <br /> 3. Ovmer Information <br /> a) Nc'iR10 821a QdfITfSS:�F�er 19g51 Leonartf Rtl.Wt,FL 33558 <br /> b) Name and address af fee simple tit(ehotder(if other than oevner) <br /> . c) Interest in propert,v o�,zT <br /> 4. Contractor Information <br /> a) N2T41e BSit!dCjCIiCSS;Bayeide Raafirg Profassicnals 543b tArke Stratdi�r,kol!day.fL 3e690 <br /> b) Telephcme No.:�zr-aaa-�ssa Fax No.(Opt)�vaao-ssa� <br /> 5. Surety Informatinn <br /> a) Name and address: <br /> b) Amount of Bo��: , <br /> c} Telephane No.: FaY Ato.(Opt) <br /> 6. Lender <br /> a} Name and address: _ <br /> 7. Identiry of person within the State ofFlorida desi�ated by owrer upon tivhom notices or uther documents may oe served; <br /> a) Name and addrass: <br /> b) Tetephone No.: Fax No.(Opt) ' <br /> 8. In addition to himseif,owner desianates tha fotiowing person to receive a copy of the Lienor's Iv`otice as provided in Scc;tion� <br /> 713.13(1)(b),Florida Statutes: <br /> a) Name and address: <br /> b) Talephune No.: Fae No.(Opt.) <br /> 9. Expiration date of Notic�of Commencement{the expiration date is ona year from the date of record'mg un(ess a different date is <br /> specified): . <br /> WAIB_iidiVG'T�3 fl'�IV�At:A�tY PAYMEN'I'815'�.ADE�3Y T�OWNEEtA�'I'ER TTF�EX�'i�2ATT�N�F TBi�teT��'ICE�� <br /> �O�IENCEN[ENT AdtE�ONSIIDE�D���d�PER FAYMENTS LTii'd9�;�2 CH[AFTEdB 713,PART 1,SEG`II�L�i 7i3.13, <br /> Fi„O�IlDA S'i'r�Tt;TES AI°ID C��i1V 13�.+5UL'g'3Pi Y�I3R]PA�Nti�'Wi�E�d�i IPROVEN�+iV'TS�:O YOUR PI2f3PEdLT]'.A ' <br /> NO'I'ICE OF COl°+�IVS���E�E�'T MiiST BE�CORDED Al`+`D TOST��O1N THE,�OB�i'�E BEFORE'i��I�iST <br /> INSPECTYOlti.�]`�iJ aNT�ND"LO O�TA��f�APtCfI�iG,��I+tSl7LT Y�iTYi LEPdDlG�2 Ola AN ATT(312Td�:�'BEFaRE <br /> COIV��TEIVCI�'��i�l4�Ad�C Q3�Y�CORt)1�iG Y�U�lOTIC]E i3F�ONi:�IEI�TC�:�d�N3'. <br /> s�' t!(�'q�; $ma ANN M.DEARNLEY � � ,"-1 <br /> co �• 'qro�y p�rypc-Stue af flori0a <br /> =• COrtIfI1iS8(011 N ff$Z�74e Sign OF Owner or 4ti�r.er's Amhorize30Ylicer/DireccorlPartneriTdanogcr <br /> =1,� My Comm.Expires Jul 17,20f9 �c�d7,w./ s'`��S��' �' � <br /> h�N�niP� <br /> BOI�fK011�1(�Iplil►J�yAfiil, � YcintNan;e <br /> The forzgoing instiument w�.s adcnawledged before me this :t day nf.--� '���ly�y/}�t.��20�[t�,by� :� � . <br /> as (ty� oai f suihority,e.g.oHicer,tzustc� tomey in fact)for <br /> � ____ _ (name of party on behalFof�vhom�rument a��as execute�. <br /> "��� �: <br /> Personall Kno�va � OR Produced Itlentitic�fion Notary Si ture � r� `� i��i• t�R_,s' f'� <br /> . Y ,/� •e —_ P� �� �"`�+�--=�- --'�---�.'d' <br /> � . <br /> Type of identification Pmduced Name(pdnt) �-'� ��° �-d}"���'�! <br /> VeriSeation pwsu�rt to Secdan 92.525,Rlorida Sieiule�.Umler penaJtics uf perjtu�,I declare t.hat I havr read fhC fore�,�oing ttnd that the Cacts slated <br /> in it a�e hue to the best of my kno�vledge and belief. / - <br /> ,I ' t...4'" � �'- <br /> Foasss,Toc.�s�om � -.�T-t-+� �V,��.� ' t l�1 r1��:.0 1� <br /> s��orr�ra�n sr��neo 1 <br /> PAUL,4S.O'NEIL,PhD.PASCO CLERFt&COMPTROLLER <br /> 02/23/2016 11:A5 AM 1 of 1 <br /> OR BR 9327 pG ���� <br />