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Permit Number <br /> Parcel ID Number <br /> NOTICE OF COMMENCEMENT <br /> State of Florida <br /> County of <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance Wth Section 713.13 of the <br /> Florida Statutes,the following iniormallon is provided in this NOTICE OF COMMENCEMENT. <br /> 1) --7" 1 ' . /i *' <br /> I L- 9 1 <br /> i.Description of property Vega]desodpidon) N <br /> ),A),A 4�.k <br /> a)Street(job)Address:;So 5'S-S-� ti-71 <br /> 2.General description of improvements: Re"Roof <br /> 3.Ovmer Information or Lessee information If the Lessee contracted for the improvement: <br /> -7 <br /> a)Name and address- <br /> b)Name and address of fee simple titleholder(if different than Owner listed above) <br /> c)Interest in Property: Owner. <br /> 4.Contractor Information <br /> a)Name and address: CB Roofing Construction 3433 Lithia Pinecrest Rd. Suite 202 k1alrico, FL 33596 <br /> b)Telephone No.: 813-569-6930 Fax No.:(optional) 615-534-8740 <br /> 5.Surety(if applicable,a oo y of the payment bond is attached} <br /> a)Name and address: <br /> b)Telephone No.: <br /> o)Amount of Bond: <br /> 6.1-ender <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 end address: <br /> b)Telephone No,: Fax No.:(optional) <br /> 8.a.In 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.Explratl6n 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 I year from the date of recording unless a different data is 20 <br /> 1iUARNING TO OWNER: ANY PAYMENTS AFTER THE EXPIRATION OF THE NOTICE ARE <br /> kAbt BY THE OWNER <br /> CONSIDERED 161PROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON <br /> THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN <br /> 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 /> knowledge and belief <br /> 5, age, a'Y e <br /> The firrng in - igacknowledg before methis dayof 20, <br /> by .... <br /> as W Ale-117 (Type of suftlrity.e.g.officer,truster,atornisy in tcl) <br /> for a, <br /> (Name of.Person) (type olauthority...e.g.officer,trustee,attorney In fact) <br /> for {name of;pgai'In behalf of whom instrument was exacuted)- <br /> Pro <br /> Personally Known Produced 11) <br /> Type of ID 1' -OL, :S76100---7643 Signature <br /> Print name <br /> Notary Public State of Florida <br /> Steven Lombardo le <br /> My Commission GG:243141 <br /> 60res 07MIE <br /> �4") 112022 <br /> 04M 0~ <br />