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INSTR#2019212Q26 OR BK 10022 PG 328 Page 1 of 1 <br /> 12/13/2019 01:22 PM Rcpt 2117120 Rec:10.00 DS:0.00 IT:0.00 <br /> Nikki AlvarezSowles, q.,Pasco County Clerk&Comptroller <br /> (Send to 1463 Oakfiekl Drive,Ste 129.,Brandon FL 33511)) <br /> Prepared By: <br /> Permit#: <br /> *Tax Parcel Number:I a-L 6-=f•-Gam,0-co t u+ -t:30 <br /> NOTICE OF COMMENCE T <br /> STATE OF FLORIDA COUNTY OF* f A5" <br /> The undersigned,as Owner,notifies all parties that improvements will be ma a to certain real property,and in accordance <br /> with Section 713.13,Florida Statutes,the following Information Is stated in tb Notice of Commencement: <br /> 1. *Description of Property(Legal dcsc"i ti of th property,and street a)ldress if available.) <br /> 2. General Description of Improvement:RE-ROOF <br /> 3. Owner Information or Lessee Inrormation if the Lessee contracted for i 1provement <br /> u. *Name and Address <br /> GE:Ju s.;rJ:cnA:.A <br /> 3'7dIL NAaf c:e ZErwiP:T t S, F(, 335-'t2 <br /> b. interest in Property-Owner <br /> c. Name and Address of fee simple titleholder(if other than owner) <br /> 4. a.Contractor:Scott Douglas Hoff <br /> Gale Force Roofing&Restoration <br /> 1463 Oakfield Drive,Ste 129 <br /> Brmnion,FL 33511 <br /> 5. Surety(if applicable,a copy of the payment bond is attached) <br /> a. Name and Address <br /> b. Phone Number: <br /> c. Amount of Bond S .00 <br /> 6. a.Leader:Name and Address <br /> b.Lender's Phone Number <br /> 7.Persons within the State of Florida designated by Owner upon whom noti es,or other documents'may be served as <br /> provided by Section 713.13(1)(b),Florida Statutes <br /> a.Name and address <br /> b.Phone Number <br /> 8. a.In addition to himsely Owner designates of to receive a copy of a Lienor's Notice as provided in Section <br /> 713.I3(1)(b),Florida Statutes <br /> b.Phone number. <br /> 9.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 Al M THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, <br /> FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENT 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 O COMMENCEMENT. <br /> Signature of Owner or Lessee,or Owner's or Lessee's Authorized Officer irector/Partner/Manager(Section 713.13111(dl) <br /> Ism <br /> Signatory's Title(Office:Owner f/jL151�t7�#k// <br /> State of r/0Ar D A ,County of <br /> The forgoing Instrument was acknowledged before me this 5 day of &CRAi ,2o by <br /> Type of Authority,eg.Officer,trustee,attorney In fact) <br /> nature ary o Pa Late of Florida <br /> Persooaltpknown_qV_Produced iD Tv <br /> pe of ID Produced 1 <br /> 4 �`- -. •.wti <br /> '4ofrWt' bomva t�4ta <br /> yv�tsnruv�4 NEERANJANTEJfRAM <br /> Commisdon f GG fl0621 <br /> Expires Juno 1.2021 <br /> � r <br /> i <br /> ''t'ortt�� BogadlMie,roralaonysxvioes <br />