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INSTR#2018139885 OR BK 9774 PG 1825 Page 1 of 1 <br /> 08/17/2018 02:45 PM Rcpt: 1983281 Rec:10.00 IDS:0.00 IT:0.00 <br /> Pau.Ca S. O'NeiC Ph.D., Pasco Coun.tm CCerk&. ComytroCCer <br /> r <br /> Permit Number <br /> Parcel ID Number <br /> NOTICE ® F 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 with Section 713.13 of the <br /> Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.. i 7 tS G <br /> 1.Description of property(legal description): L r ccir .R e',5.i!4 5_.5�, _.. 3-------- <br /> a)Street(job)Address; <br /> 2.General description of improvements: . Re.-Roof'----_---.__--........ <br /> ._.................._....__—..........._...__._.__.._.___.._....-...._...__._.....__...._.....___.__....._.._._ -----__ _.___..._.... .._..._. ___._._......------- <br /> 3.Owner Information or Les se i f ' n if the Lessee contractorma ed or e m rovement: <br /> a Name and address: <br /> b)Name and address of fee simple titleholder(if different than Owner listed above) n <br /> c)Interest in property: Owner <br /> 4.Contractor Information <br /> a)Name and address: CB Roofing Construction 3433 Lithia Pinecrest Rd. Suite 202 Valrico, FL 33596 <br /> -.__._.__.__.___.__..__.___.__...._._._... ..... ___.._..._. ........ -.__-._........_---_-_.____._--.__.____.._.-_..--.-.--, -_.--................. <br /> b)Telephone No.: 813-569-6930 Fax No.:(optional) 615-534-8740 <br /> _.---_...._.....__. .__._.___.-_...._._._..__....._ ..._..._. _...._.._---.--.---._.,__. <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 /> ___..._.....-.-_-__..--.......----___......-..._...___---__......__....____._._.._,._...__.__.._..._...._.......__..___._...---...._......---_._..__.............. <br /> ._......_._. <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 prov(ded 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 frorn the date of recording unless a different date is specIfed): 20 . _ <br /> 1 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER-AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE � <br /> i CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,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 /> I THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN <br /> IL-ATTORNEY-BE-FORE,CO._.___MMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT... _...___._ _....._..__._..�_...._____....___...._.___.._._._... _.._._.._.._.__-_--.._....---___ <br /> Under penalty of perjury,I de <br /> k bwle a elief. lare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my <br /> -- <br /> ese's(Authorized OhDirctorlParnerRvenager) rovide gnafys(Signature n r L ee, r a itle/Ofr ) <br /> The for i strums w acknowledged before me this day of _ V I' 20 <br /> t� Y �v.. .-.__S.._._._...._.. - - - -t -------- - <br /> bY ._ 'Z ��_ as 40�e of authority,e.g.officer,trustee,attorney in fad) <br /> for i as <br /> (Name of Person) (type of thority,. .g officer,trustee,attorney in fact) <br /> for (name of pally be elf m ins ment was executed). <br /> Personally Known Produced ID <br /> Type of ID fl. .-(,"44,ns-1-±otary Signature <br /> Print name <br /> } No'"Public state Of Florida <br /> Wilham Goren <br /> mil' *Connio"n W 2421M <br /> to EOM2 07/21W2022 <br />