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INSTR# 2019180075 gK 9993 PG 1913 10/22/2019 11:35am Page 1 of 1 Rcpt: 2101617 Rec: 10.00 DS: 0.00 IT: 0.00 Nikki Alvarez•-Sowles, Esq. Pasco County Clerk & Comptroller Permit No. Parcel ID No 1 J" 2(` L( - 01 7 J - 6 50—0 0 NOTICE OF COMMENCE ENT State of, D��L7i C� County THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,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. Street Address: -17 1 Ja b ,' � <, 4 �IVr' 2. General Description of Improvement, ��rc o P d l d S L"t�LG��'�- (�d.� T iJ C1 P C1 3. Owner Information: Address City 7State Interest in Property: Name of Fee Simple Titleholder: : (If other than owner) Address / City State 4. Contractor: ' I'AL)'Na -- -J.3a/jme 2� Address City State Contractor's Telephone No.: •R 5. Surety: - Name Address City State Amount of Bond; $ Telephone No.: 6. Lender: Name 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: Name Address City State Telephone Number of Designated Person: 8. In addition to himself,the owner designates; of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner: 9. Expiration date of Notice of Commencement is 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 YO R PROPERTY. A TICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST I PECTION. I U END TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING RK OR REC I OUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Signature of Owner or Owner's Authorize Officer/Director/Partner/Manager Signatory's Title/Office The foregoing instrument was acknowledged efore roe thi d k^ ,20 ,by� , as �t 1 (type of author' ,e.g.,officer,trustee,attorney in fact)for c / AM on beh I wh ins u nt was executed). Personally Known(]OR Produced Identification(� Notary SignaturType of Identification Produced �1 ol— Name rint) K Ph Verification or' a Statutes. Under penalties f erjury I declar t at] ead the egoing and that the facts stated in 4 it are true to e �.f my knovk4��f8 ie. Notary Public-State of Florida `a Commission a GG 234160 °F ig atur of Natural Person igning Above My Comm.Expires Jul 2.2022 Bonded through National Notary Assn. wpdata/bcs/bcs forms/noticecommencement_pc053048wce