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� ;e This space for use by Clerk of the Circuit Court only. , I Iill��l,ll+l�+�+++1�I+I�I III+�IIIIIIII+��ll�l Il�f I I��I II�! 2017040.747 ' � � r t � I , ' '' Rcpt:1847699 Ree: 10.00 - . NOTICE OF COMMENCEMENT DS; 0.00 IT: 0.00 03/21/2@17 J. R. DptY Clerk Pem�it Number. n,�� Taa Folio No. — �Q ��`"��' � The undersi�ed hereby gives notice that improvements wil!be made to certain real property,and in accardance with Section 713.13 af the Florida Statutes,the following informaHan is provided in the NOTICE OF COMMENCEMEIYT. ]. Le al D scription of,pf operty(street address required): � . I IIKI' C �4� ��,�sirl�r �l S /C L �/�— 2. Generalbdescriprion of improvements:��i/C .S. � ' 3a. Owner Name:.+F— �2 Owner Address•�� /�1/l� ��,V!' � �S �� —�,�`/� 3b. Owner's interest in site: /�f�' 3c. Fee Simple Tide holder(of other than owner) �/f/� Address: Contractor Name:��G �Q2��1 1� � , Address:�' �o��a�4� Lt 2 L►I/�i%/�f�L 3�iS�lPhone: /.3'�_Z�— � �� 5 Surety Name:,{�/�/¢ Amount of bond: Address: - Phone: 6. Lender Name:�� Contact: Address: Phone: 7 Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713,13(1)(a)7,Florida Statutes. , . PRULR S 0'NEIL,Ph.D PiiSCO CLERK B� COMPTROLLER Name:�I� � nddress: 03/21/201 03:29 m 1 of 1 PhoneNumber. OR BK �51� P� 3165 _ 8. ' In addition to himself,Owner designates the following person to receive a cbpy of the Lienor's Notice as provided in Section 713.13{])(b),Florida Statutes. Name:�� Address: Phone Number: 9 Expiretion date of Notice of Commencement(expiration date is one(1)year from date of recording unless a dift�erent date is specified). WARMNG TO OWNER: ANY PAYMENT5 MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COhA1ENCEMENT ARE CONSIDERED IMPROPER PAYIIIENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLOAIDA STA7'UTES,AND CAN RFSULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT M11ST BE RECORDED AND POSTED ON THE d06 SI7'E BEFORE THE FIRST tNSPECTION. IF YOU[NTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN A7TORNEY HEFORE CONIIv1ENCING WORK OR RECOrRD[NG YOUR NOTICE OF COMMENCEMENT. ��-w%� o I� � Signamre of Owner or Lessee,or Owner's or Lessee's Authorized Of�icer/DirectodPazmedManager Or�n�e� ' Signatnry's Title/Office . STATE OF FLORIDA COUNTY OF HILLSBOROUGH _ The foregoing insuument was acknowledge before me this 1�day"of_�g��/i ,20 � /^ , by��(�G��{�79 ,as d k//'� e � for . Personally Known OR Produced Identification 'Cype of Identification Produced , l I - . .' i Sibmatu � ' � `t' WOTNtYPU�G Uuder penalties af perjury,I declaze that 1 have read the foregoing and that the fac[s s�ated in it are, o ��c�� �Y� ��1 • . r.dlrliR 6�� - ��'R!3�4�Q� Signature of Nanual Pason Signing Above' , (A wpy af an•bond must 6c auac6ed m the time of remrda�an aCthis Notice of Commrnccmcnt) Updatcd 29NOVZ012