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<br /> ' 20I7032001
<br /> Rapt:1843661 Rea: 10.00 --
<br /> D5: 0.00 IT. @.0@
<br /> � " 03/07/2017 K. R. M. , Dpty Clerk
<br /> pqULp S 0'NEI��Ph D PRSCd CLERK & G4MPTR6�LER
<br /> 03l0'71201����m PG 'r',,���
<br /> NOTICE UF C0112112ENCENI�NT OR 9K
<br /> Pemriit No.
<br /> Propaty identifrcation No. , � ' ��Q' Z i " ��)D-}�� �Q- �t'Q'"7'(�
<br /> THE tINL?L�RSIGNED fivtby give in�rni5 yate that the improt+amcat w9t1 bo mede to certain rcel property,ead 3n eccordanca with
<br /> SxHon 713.13 of the F[ortde S�tutes,the foltovring mformaflan is provIIded in s6is NOTSCE OF CQhiASBNiCEME2+i'i:
<br /> l.Description of graperty{�egc[dcsntptlarr.) 21p�,o v.. , �taS'C �� Y'�45.�,.�
<br /> e�se�ec naa�s: t��a�a �z � �!�.,. ea �l .
<br /> 2.fleueial descrigtiaa ofimgrovaments: 1 a.x i t., ��yo rt .-r_tv„�c�-,a..Q n t c�v.._
<br /> 3.f3wner Info�mation
<br /> aj zaame�a�d�s�,4 i cU�e.t a ��'�,.`'�� �0 54 33 1 l� -�.�,�.`�
<br /> b)Name arid addres9 of fee simple titleholder(if pfhei th�owner) ��'�l� �-�i�,\� ��1 � ���` �
<br /> c)fnterest�'PmPerty' � •._.• r
<br /> 4.ContractbrInformalioa �y •
<br /> a)xame ena eddisss4�'T�.-�{�� �11L� �lA��'��
<br /> h)T�iephong No.: ' Fex No.(Opt}
<br /> S.S�uetytnfomietlon ' •
<br /> a}1V'ame sad ed�r�ss= -
<br /> b)Amoppt ofBond:
<br /> c}TeIephone No.: � ' Fex Na.(OpL}
<br /> b.Lender
<br /> a)t7ame ead addness:
<br /> Phone No.
<br /> 7.2deatity of person within the Ststa of Florida deul@neped by owner npon wham nolices az other doe+�enLc mey be sarved;
<br /> a)Namc and addnss-
<br /> b)Telephoac 210.: ' FmcNo.(Og!•)
<br /> 8.In additioa m hlmself�owner designares the followidg person to recbiye a copy bf ffie Lieanr's Notica as'providcd in Sectian
<br /> ?i3.i3(IKb},Fiorida Smiates:
<br /> e)Nacne end addmss:
<br /> ' b}Tatephoac No: �- ' .Fa�tNo,(Opt.}
<br /> , 9.E�ireNoa dete oPNotica of Commencem�it(tha expuacion dale is one ydar frba�the date o#`secozdtng�miess a diffe3�mst data is
<br /> spacified}:
<br /> . ' �� � �
<br /> WA.R1+iI2V�fi0 OWNk�B: AT�TI'PAYIVISN'!'S 14fAIJS BY R'AJ's OWAtit1R AFTER T$E EXPIRAfiION ON'1�NOTICE OF 'e �'
<br /> COMl►�NCEMENT ARB CAIHSID�RTdD Xl1'iF'ROPLR PAYMENTS'i7ND8R CHAkTER 723,PART T.s�crsox��.�, ��d�� ° -�' �,�
<br /> FI:ORIDA STATtTI'�S;A:ND CAl'7'RESITi.T IIV'YOUIt PAICIfVG'TW7CE FOR I1YIt"ROVEMENTS TQ.YdYl12 pRpPER'i'Y. �
<br /> A NOTIGE QB CQ11i!}�L+AiCEhiI�NT hiUST BE RECOR]?RD�LND Pt?STED ON'THE JOB STPE BEFLtItR THE FiRS 1' s �"'' � }
<br /> INSPECfi70N. TY{YOU 1TV1'END TO UBTA[N FINANCING,COWSUl.T YOilk LENDBR O!t AN A'xTORNEY BEFORE � "••., �
<br /> C¢A�;!HEiYCIIYG WORK O�RECORI}ING YOUR NOTTCE OF htMEPtCEMEtV"1: �" � � � � � _
<br /> STATE48FIARIDA m . �y ;� w �,
<br /> COlM7Y OP PASCO "�-'"^'�^ � '� M �
<br /> S oI atOwnc`uAurhar3sd ,�ife�dm/Putnc/Mmqger 4a � ���"
<br /> ��t�tr��1 C�Cj3, -=��3.a-�Z� `�° "
<br /> P+int Nome
<br /> �� � .� �
<br /> The�omgoing insor�etrt vvas ackaowiedgod hefore ma this�„dey of 20�bS' Q1�7�/F'K 1}
<br /> as tSIJ N� type ofwthanty,e.g.afficar.trwteq eftamey F— �
<br /> in fact)for (nemo of pecty on behalfof whvm fash,mmetrt wes ocerxrted). � � � fY t,�t.�
<br /> PeisonallyKnowa,_ORPzoducedIdentlficationv!, NotffiY5igaature ,�1„�,�j�_�.�t.irL����• � U` � Q s � t-�-
<br /> 2 F--
<br /> 7ype of Ideacification Prodaced rL- ��V�,� .�✓C Name(prmt) ��,A�N�. /�-Y�/�! G�.- �O Q � � N � w�
<br /> p � �C — � �
<br /> VertficaHaa pursuent to Section 92.525,Ftorida Smtutrs.Undcr pmehies 'ury,I dectare that 7 tave read tlae frne ' at >" �- � � V �
<br /> !he fects stated in it ais uue to the btst of my knowledge and belieE Z t� O u„
<br /> � t~— Q- � � Y
<br /> ' � �
<br /> ,,•,�:'W'•,, DEBRA ELAlNE RUFFELL sr�otta tw. ; i� z Q U z u1
<br /> F� _Commission#GG Q45343� '� � � J `�
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