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( : - i iiiiii iioi uiii�iiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii <br /> � � . . 2016171004 <br /> . �"Permit Nurriber: - -- ' <br /> FoliolParcel ID#: 3�-a.s'-�.! -a/�a-ac�roa-3 a_�a _ - - <br /> P�repared by:_ Rcpt:1811695 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> B&H Conshvcdon ofCentra]Fl 10/28/2016 E. M. , Dpty Clerk <br /> 4025 Morris Bridge Road <br /> Return to: Zephyrhills,FL 33543 • - • - - <br /> ppUl_R 5 U'FJEIL,Ph.D.PRSCO CLERK�f CiMPTROLLEF <br /> � - 10/28/2016 12:19 m 1 , <br />' NOTICE OF COMMENCEMENT OR 8K 944� �� _ 575 <br /> State of Florida, County of Osceola . <br /> The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance <br /> with Chapter 713, Florida Statute�,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 />� 3y �al oi&o-�a-.�iu, 3910�9 Co�u. .Le�..��'s Avc., Z�fivr/�,'/,CS .�L <br /> 2. General description of improvement <br /> j G6,�.�G G/� �,� Sy�w�,�e, 'Driu���..,__�s � <br /> 3. Own�ormation or Lessee information if t e Lessee cont acted fo the improvement <br /> � Name "� <br /> I Address o e r'o FL a� <br /> � Interest in Property S L <br /> Name and address of fee sim ie titleholder(if different from Owner listed above) <br /> Name , <br /> Address � <br /> � 4. Contractor <br /> Name 6e� � -�z' Telephone Number �1�3'�77��Y�- <br /> Address t " h..'Ls a?3s 3 <br /> 5. Surety (if applicable, a copy of t e pa nt bond'is attac ed) <br /> � Name Telephone Number <br /> j Address Amount of Bond $ <br /> 6. Lender <br /> Name Telephone Number <br /> Address <br /> 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may <br /> be served as provided by§713.13(1)(a)7, Florida Statutes. <br /> Name Telephone Number <br /> Address <br /> 8. In addition to himself or herself,Owner designates the following to receive a copy of the Lienor's <br /> Notice as provided in §713.13(1)(b), Ftorida Statutes. <br /> Name Telephone Number <br /> Address <br /> 9. Expiration date of notice of commencement(the expiration date will be 1 year from the date of recording <br /> unless a different date is specified) <br /> WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE�CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMEtJT MUST BE <br /> REC�ORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER O AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCENIENT. <br /> , f�. �� <br /> Signa ure f Owner or Lessee,or Owner's or Lessee's Authorized OfficedDirector/PartnedManager Signator�s TiUe/Office <br /> v <br /> Th i foregoing instrument was acknowledged before me this�day of��by �irt�� Gt1ei� <br /> mon ear na of person <br /> as for � <br /> � Type of authority,e. .,offlcer,trustee,attomey in fact Name of party on behalf of whom instrument was executed <br /> , <br /> ,;�,�se'i;:p;,,, CRAIG CANT <br /> S' nature of Notary Public—State of Florida Print,type, :�t ' Cti p�� s �grr� Notary blic <br /> / , � , A' ��FAFj�.g` Bmnlad7NuTmyFeinlnsur�neeBW�3S5•7058 <br /> Persona l l y Kno w n. O R P r o d u c e d I D - � <br /> ' Type of ID Produced�� ����� _ � '� <br /> Form content revised:01/23/14 ' <br />