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1 Permit No. Parcel ID No NOTICE OF COMMENCEMENT State of 7 I s t of County of P,s'�— THE UNDERSIGNED hereby gives notice that improvement will be made to certain real properly,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel Identification No. SVeetAddress: 37 a 'i(p 1 (�U k n yn fl o e 2. General Description of Improvement n Q-t cls e-e Q V-�Q to r-� n+o 0-t 3. Owner Information or Lessee information If the Lessee contracted for the improvement: \, _ �ck1P_ ur(�)-'s 3?3q[pNametF-Uk ' 6Ya1 �. l1P -meIJYtl�_t � j Address TJ City 1 State Interest in Property: Name of Fee Simple Titleholder. (If different from Owner listed above) Address City State 4. Contractor, Name Address City State Contractor's Telephone No.: 5. Surety: Name Address City State Amount of Bond: $ Telephone No.: 6. Lender. Name i Address City State Lender's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: i Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates of to receive a copy of the Lienofs Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. g. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date Is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE 1 RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of pefury,I declare thaf,f have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. STATE OF FLORIDA COUNTY OF PASCO Signature of 0 r o esse ,or er's or Lessee's Authorized Off oer/Director/PaMer/Manager Signatory's Idle/Office The foregoing instrument was acknowledged before me th day of Q b 20� by as t'\SS-T (type of authority,e.g.,officer,trustee,attorney in fad)fo`,,N1N II I1111�//�� (na e f party on behalf of whom in ment was executed)\,,\\\�r_ANNA(G(JpF//,��1 Personally Known❑OR Produced Identification Notary Signature Type of Identification Produced \Jd y Q r 5 Name(Print) p— Q, . :•GQ J S Z zo _ � #GG 069567 e s' :Q! QOuded�h� `•' pub/icUnda�•• O �� w pdafalb,-Onoficecommencement_pc853048 j1/`"'111%