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INSTR#2018200105 OR BK 9823 PG 3949 Page 1 of 1 <br /> 11/29/2018 12:65 PM Rcpt:2009419 Rec:10.00 DS: 0.00 IT:0.00 <br /> Paula S. O'Neit;Ph.D., Pasco County CCerfe& ComptroCCer <br /> Permit Number <br /> Parcel ID Number "( ,-�li�_,�.� <br /> NOTICE OF COMMENCEMENT <br /> Slate of Florida <br /> County of <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the <br /> Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT._ T F 1 <br /> 1.Descriptionof property(legal descriptlon): )C;i ���.;;L.;;�4Q��Z�!JtLz^ 9647.. ..`;.(t'��. � J..I. 1"� '� <br /> a)Street(job)Address: 5$- — <br /> 2.General description of improvements: Re-Roof., <br /> 3,Owner Information or Lessee Information If the Lessee contracted for the improvement: <br /> 1t, c. f.'c�" _ <br /> a)Nameandaddress: 1 41�c:�_.(�Ltit et <br /> b)Name and address of fee simple titleholder(if differenithan Owner listed above) <br /> c)Interest in property: Owner <br /> 4.Contractor Information <br /> a)Name and address: CB Roofing Construction 3433 Llthia Pinecrest Rd. Suite 202 Valrico, FL 33596 <br /> b)Telephone No.: 813-569-6930 Fax No.:(optional) 615-534-8740 <br /> 5.Surety(if applicable,a copy of the payment bond is attached) <br /> a)Name and address: <br /> b)Telephone No.: <br /> c)Amount of Bond: $ <br /> 6,Lender <br /> a)Name and address: <br /> b)Telephone No.: <br /> 7.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section <br /> 713.13(1)(a)7.,Florida Statutes: <br /> a)Name and address: <br /> b)Telephone No.: Fax No.:(optional) <br /> 8.a.ln addition to himself or herself,Owner designates of <br /> to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> b)Phone Number of Person or entity designated by Owner: <br /> 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the <br /> contractor,but will be 1 year from the date of recording_unless a different date is specified): 20 <br /> WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE <br /> CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR <br /> i PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON i <br /> THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN <br /> i ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my <br /> knowledgp and belief. <br /> (Signal a of Ov er or Lessee,or wn r s o es A,(A, zed diiicer'Director/Partner'Manager) (Print Name a d rovide Signatory's Title/Ofri ) <br /> The fore ing instrument was acknowledged before me this �-} (�j day of Jt/�/✓�rta_irX�� ,20 <br /> bY;..,GJ,.111G. .`� 1.1_ as Q�ti v1G�er (type of authority,e.g.officer,trustee,attorney in(act} <br /> for 9 c ��- as <br /> (Name Person) (type of authority,...e.g.officer,trustee,attorney In fact) <br /> for (name Kofartyn behalf of whom instrument was executed). <br /> Personally Known ❑ Produced ID <br /> Type of ID - Notary Signature <br /> Print name � 7:� <br /> Notary Public State of Florida <br /> Steven Lombardo <br /> My Commissfort GG 243 151 <br /> ���� Expires 07/3112022 <br />