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Permit No. Parcel ID No 15—a(P'Q 11— 017 Q— C0000—M 0 <br /> 11 NOTICE OF COMMENCE•r(r•�rr)pNT <br /> State of_PIO d r1 a County of5C0 <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, <br /> the following information is provided in this Notice of Commencement <br /> 1. Description of Property:/Parcel Identification No. 1 <br /> Street Address: y 5k l B 10 wsorA��(MRi l ki Cl•rr f ( ( / (� <br /> 2. General Description of Improvement ill(� 4 Qnj f Q loi-eAf n G C S k i m!p I c� <br /> 3. Owner Information or Lessee information if the Lessee contracted for the improvement: <br /> ar Re-t4 P4161e <br /> am C i r &raluAids <br /> Address City State <br /> Interest in Property: D )ntr <br /> Name of Fee Simple Titleholder: <br /> (If different from Owner listed above) <br /> Address rr l r City State <br /> 4. Contractor. D6 Y ton <br /> t �fY_• �L �� 3S� <br /> oya'�a ?.Y1E�/LL Q< � QQ <br /> Address / City State <br /> Contractor's Telephone No.: ��13�y�S—6 Il'9 A <br /> 5. Surety: <br /> Name <br /> Address City State <br /> Amount of Bond: $ Telephone No.: <br /> 6. Lender. <br /> Name <br /> Address City State <br /> Lender's Telephone No.: <br /> 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by <br /> Section 713.13(1)(a)(7),Florida Statutes: <br /> Name / <br /> Address City State <br /> Telephone Number of Designated Person: <br /> 8. In addition to himself,the owner designates Of— <br /> to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. <br /> Telephone 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 one year from the date of recording unless a different date is specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE <br /> RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT <br /> WITH YOUR LENDER OR AN 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 <br /> of my knowledge and belief. <br /> STATE O Lo Notary Public State of Florida —� <br /> COUNTY Avelino Vide <br /> "2—wc�— <br /> M Commission FF 943088 Signature of Owner or L s ,or Owne s or essee's Authorized <br /> Orf�°` Expires01108/2020 Officer/Director/Partner onager <br /> Signatory's Title/Office <br /> /�I r <br /> The foregoing instrument was acknowledged before me this Lday of l�Y ii _,20 If <br /> by L r✓'f 1 <br /> as1p—Q L (type of authority,e.g.,officer,trustee,attorney in fad)for <br /> L a✓.t c�— r","—'-- (name of party whom instrument was executed). <br /> Personally Known❑-Ocj�roduced Identification❑ Notary Signature <br /> Type of Identification Produced Name(Print)4v-v— <br /> wpdata/bcs/n oticecommencement_pc053048 <br />