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1 <br /> NOTICE OF COMMENCEMENT INSTR# 2019211101 BK 10021PG 1414 <br /> Permit Number Tax Folio# 14-26-21-0010-02200-0110 12/12/2019 02:16pm Page 1 of 1 <br /> Rcpt: 2116749 Rec: 10.00 <br /> The undersigned hereby gives notice that improvement will be made to DS: 0.00 IT: 0.00 <br /> certain Real Property,and in accordance with Chapter 713,Florida Nikki A 1 varea•-Sow 1 es, Esq. <br /> Statutes,the following information is provided in this Notice of Commencement. Pasco County Clerk & Comptroller <br /> 1. DESCRIPTION OF PROPERTY: <br /> (Legal description of the property and street address,if available). <br /> 4830 17th st,Zephyrhills, FL 33542 <br /> Moores First Addition Pb 1 Fig 57 Lot 11 &South 1/2 Of Lot 12 Block 22 Or <br /> 9377 Pg 1458 <br /> 2. GENERAL DESCRIPTION OF IMPROVEMENT: <br /> Install a 6.46 kW roof mounted solar PV system. This space reserved for recording <br /> 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: <br /> Name&Address: Phyllis Ferguson 4830 17th St.Zephyrhills. FL 33542 <br /> Interest in Property: Owner <br /> Fee Simple Title Holder(if different from owner listed above): <br /> 4. CONTRACTOR: Name: Solar Sun LLC Phone Number: 619-729-8311 <br /> Contractors Address: 6090 Central Ave St. Petersburg, FL 33707 <br /> 5. SURETY(If applicable,a copy of the payment bond is attached):Amount of bond: $ <br /> Name: Phone Number: <br /> Address: <br /> 6. LENDER'S NAME: Phone Number: <br /> Lender's address: <br /> 7. Person's within the State of Florida Designated by Owner upon whom notice or other documents may be <br /> served as provided by Section 713.13(1)(a)7., Florida Statutes. <br /> Name: Jeustin Caguioa Phone Number: 619-729-8311 <br /> Address: 6090 Central Ave St. Petersburg, FL 33707 <br /> 8. In addition, Owner designates of to receive <br /> a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. <br /> Phone number of person or entity designated by Owner: <br /> 9. Expiration of notice commencement(the expiration date will be 1 year from date of recording unless a different date is <br /> specified. 20, <br /> WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY <br /> BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> Phyllis Ferguson <br /> TSigrfature of Owner or Lessee, b r Owner's or Lessee's (Print Name and Provide Signatory s Title/Office) <br /> Authorized Officer/Director/Partner/Manager) <br /> PASCo <br /> State of {CLo�Z I County.of <br /> The foregoing instrument was acknowledged before me this Z� day of NO��M� 20 I by <br /> for PHyc.c IS FeQ6u5ojo <br /> (type of authority,...e.g.officer,trustee,attorney in fact) (name of party on behalf of whom instrument was executed) <br /> Per Wally Known or Produced Identification UC-d�5 L to Fk5E— <br /> Sr Il <br /> (Signature of Nota Public— rya}_ � Notary Public State of Florida <br /> FormIP502—Revised 01/13/15 <br /> Thomas Boone <br /> MY Commission GG 364208 <br /> Expires 08108/2023 <br />