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` NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Tax Folio No. <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with <br /> Chapter 713,Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. <br /> 1.Description of property(legal description of property): Oa-c 4to' U a3a <br /> a)Street(job)Address: $ 5 J V 1�_ 2-e- <br /> 2.General description of improvement(s):a 4 C5 rr' 9-' & .w y <br /> 3.Owner or Lessee information(Lessee as o er only if contracted for improvements) � _ ^ <br /> a.Name and address:�Cl�'(�fw Proven Lb �5 ca sf 2_Uo ��l �.� �-t l t,L40 A <br /> b.Interest in property: <br /> c.Name and address of fee simple titleholder(if other than owner): <br /> 4.Contractor Information r /►� y <br /> a.Name and address: L t?D t.-70tfr' dD G• d' 8 C� <br /> b.Phone number: -4{ Fax No,(Opt.) <br /> 5.Surety Information <br /> a.Name and address: <br /> b.Amount of bond$ <br /> c.Phone number: Fax No.(Opt.) <br /> 6.Lender <br /> a.Name and address: <br /> b.Phone number: <br /> 7.Persons within the Statc,of Florida designated by Owner upon who notices or other documents may be served as provided by <br /> Section 713.130)(a)7.,Florida Statutes: <br /> a.Name and address: <br /> b.Phone number: <br /> 8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in <br /> Section 713.13(1)(b),Florida Statutes: <br /> a.Name and address: <br /> b.Phone number: <br /> Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different <br /> date is specified) <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE <br /> EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER <br /> PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUES,AND <br /> CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE <br /> BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING, CONSULT <br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR <br /> RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have- <br /> read the fo , oing and th fa in it are true to the best of my knowledge and belie€ <br /> a— o 71 m , <br /> rr x rt e � <br /> Signature of Owner or ssee,or own 's or L 's uthori cer/Director/Partner/Manager ry i'.) o <br /> Signatory's Title/Officer. <br /> State of Florida <br /> County of Manatee V <br /> The foregoing ent w =owled d b re me ' of 20by _ <br /> G who sonall .kn me or has produced <br /> - ho did/did not take oath. ° <br /> n 4 <br /> (Driver's License# ' Y <br /> THEODOSIA BRICKHOUSE $ <br /> IgnatUl'e of Notary N <br /> otary Public-State of Florida Public-State of Florida _ <br /> .W. <br /> A ^_ Commission#GG 163218 a ti <br /> =;�' 4 My Comm.Expires Dec 23.2021 �- mm <br /> 9.FOF ` Banded:hro�gh N2:IOna No:aryAssn. Prim,Type,Or Stamp fc� @ 6 <br /> Commissioned Name of Notary Public <br />