Laserfiche WebLink
INSTR#2019023585OR'3K9857PG2367 Page I of I <br /> 0211212019 11:16 AM Rcpt:2027938 Rec: 10.00 DS:0.00 IT:0.00 <br /> PauCa S. O'Neil;Pfi-D, Pasco County CCerjC,&ComytroCCer <br /> permit No. Fadd IDNo Mt 0 C)C) <br /> stateof t-Oct Ja- Counlyraf- R%Sc <br /> o <br /> THE UNDER81GW-D hereby Gkos n;l[W m that impromentl0l be mada to caftaln real property,end In excrtunce with Cipplet-713,Florida Statutes,,ihefollowin.ri P rc rn,a Ila a is p rovid a d In W6 Not to.^o f Cc m me meal a n I <br /> I. 13!sarjpllon of Property-PaL-I Idediffcalidn NQ. <br /> 38141 3". <br /> 2. General Oazalplion offroprovement <br /> ye-40 <br /> 3. Owner Information or Lesseeinformallan If the Lasses contracted for-the Improvement: <br /> WL vtqu %.\A(qWeL q>rcit-tia"i <br /> I t&cfzu V-4 Rubun L(BWI <br /> Address, City <br /> Intirestinprof-ty-, <br /> Name of Fee Simple 7jqeholder: <br /> (if dffeLant;from amer lista d above)- <br /> Addrebs city State <br /> 4. conIrcalor,_Eq mm-- (A - <br /> .5R- tq - <br /> Address City i Stala <br /> Contraotofs;-jetephone,No.' <br /> S. surety: <br /> Name <br /> Address ClEy State <br /> Amount of Bond:8 T elephone No.: <br /> S. Lender: <br /> Name <br /> Address MY state, <br /> Lerideee Tatophona No.*, <br /> T. Persons vAthin the State of Florida designated the owner upon whom notines or other documents mat W-mad as pro,6ded by <br /> Sedlca 713AS(I[Xa)(7),Florida StEllo[eE pj <br /> flame <br /> Address City <br /> Telephonic Number of De!igneted Pe(&Qn' <br /> 6. lriadd!Uontohlmseti.thao-,%,nardE$1911at.: <br /> torac We a copy of lhelleoo�ea Npilce asp statutes. <br /> Wrmpl tone Number oV Person or Entity Designated by Owner. <br /> 9. Exguellun data of Nallca or expiration data may not be betbre the completion of constn4lian and',inal payment to the <br /> contractor,WWII he one yearfrant the dale OFrecording VnleQa-a dilf�arent We Is specified): <br /> WARNING T 0 OWNED: ANY PAYMENTS-MADE BY OWNER MR THE v9-pjRArioH OF-rtiq NdTim oF'aom1%4r=NcEmEqr <br /> A CON OTION71313 FLORVA STATUTES, 1-%r <br /> REz SIDERIM IMPROPER PAYMENTS UNDER CHAPTERAS, PARTI BE M CAN <br /> RESULT IN YOUR PAYING TWICE MR JtIPROVEMENTS TO YOUR PRQPhRW. A-NOTICE~'- OF WNIMENCE(Iffiar BE <br /> RECORDED AND P08TEO ON THE JOB SITE 1111 mne CONSULT <br /> 00711101,11,W1111 1,,Icl IIYIIIIIYIIII;,011llAIFIIGIIIAI <br /> .r G DIN <br /> tqc� ORflRI& ,, OUR ,IDgO 0,�A <br /> WITH YOUR LENDER OR AN A17ORNEY BEFORE M1020m. <br /> Under penalty of pe"Iry,I declare that I have read the t3raSafng notice of commencement and the'Hhe Tsda skid therein are true to the best <br /> gray hnowldd-a�e a2 belief, <br /> -------- -- <br /> STATE OF FLON,DA <br /> COUNTY OF PASCO <br /> Offiderl0frecria'PtIfte Manager @7 <br /> S'gp cry a Me= <br /> t ' T 1(ja <br /> The fogpin <br /> f-0) Paq-by-y—"f Pit &-a-r-0-horo <br /> Mrao q-Lc as (type at authority,fig.,okwx,trustoe,attorney ki tdat)for <br /> (a eff, Aya ^hIJ -jVA1QMIrRIHmqn1 s,executed). <br /> Personally Kudy)�A PER Produced IdeniMmIlon Notw�y Signature id -- <br /> Type Of Identification Produced Name(Print) (at (AJ Q)0�- <br /> AN6ELA Y" <br /> HA WDOD <br /> 1401,91-y public State of Florida <br /> #FF <br /> .51 <br /> J P my COMM.Fxl)ircs Aull 24 2j)3qjr' <br /> s 130a(1 <br /> c{t <br />