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NOTICE OF COMMENCEMENT Permit No.Property Identification No.yo �I ��J o-,W 03)0 THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. 1. Description of property(legal description:) I HS Ru 201919402 BK 10�05PG a) Street Address: 6551 Northlake Dr,Zephyrhills,FL 33542 1 1/13:2019 03:55prn Page 1 of 1 Rcpt: 2108229 Rec: 10:00 2. General description of improvements �Q -\Kex-,X D,: 0.00 IT: 0.00 Nikki Alvarez—Sowles, Esq. 3. Owner Information pasco County Clerk & Comptroller a) Name and address: James M.Converse,6551 Northlake Dr,Zephyrhills,FL 33542 b) Name and address of fee simple titleholder(if other than owner) c) Interest in property 4. Contractor Information a) Name and address: ME Repair solutions,1447 Emerald Hill Way,Valrico,FL 33594 b) Telephone No.: 813-526-3016 Fax No.(Opt.) 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: -b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date 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 IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OV8.00F NG YOU NOTICE OF COMMENCEMENT. ++ A C kz 1112 STATE OF FLORMA ♦ �� .f...s. 99 e/ COUNTY OF PASCO `®TAOP.., OZ19wi Signatureof Owner or Owner's Authorized Officer/Director/Partner/Manager My s Ap�6'E)O023�r i No?00 323632.. ` Print Name The foregoing instrument wa it a this day of /V n yC'rS'1 L 16 K ,20 l r ,byluti e-S �'!C d y�•,�y( C P Co <a'r (type of authority,e.g.officer,trustee,attorney in fact)for �1 1111f G ,/(name of party on behalf of o ' trument was ecuted). Personally Known_OR Produced Identification r Notary Signature Type of Identification Produced 037tct �I (fDhCC�4SeName(print) C )C1VI94 C:;'rCeG Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC.r,,sd2007 Signature 30M P.6n Signing Above