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Per"No. ParwflDN.It- Ua- 2-1- obt 0- /5100.0/160 <br /> e 18CE�roi �1 -O z v �stmofF1orid_w Cmi � a •• <br /> r• tjs C5 @ : <br /> THE uWW=IG*D hereby pines noWoa#a improveowt vA be made to certain real properrtty,,and in acoo danaa WM Owow 713,Florida Sip I 110%. <br /> toof h Oft Notice acamrorfcegnrl+gJ r -p l !_ �/'s I7 / / CY. O ~ \ <br /> Sb®dAddtaswDescriplionaL-fflil'�. ll7J c7 S? N 6�1 <br /> �1 rj <br /> �O �� //�_ <br /> 2. GO-0 Desaiptimn a Yeproverner¢W.0 �� n�_ i W e 6p <br /> `< t@d N m C-" <br /> of co RV <br /> 3 Otwor, i y�l a91ea contacted for am imp ovemaiC M O 3 --.2 <br /> a l <br /> --iro il', 7z <br /> M Addf city Stale .. C 1r3 <br /> hrtar�sl ra PropMy w•Wig o m fi rt-y <br /> N.meaFMairpar 'a.n °''` <br /> (Ndil ttiernOwnaridedaboae) .mot wv <br /> s <br /> 4. 1wr"'.. ri _ _ fi<`�l' stale �, m G <br /> m & S e <br /> Stab <br /> ContracklesTeleptwnaN. G.-I+- <br /> 5. Suety: <br /> Name <br /> Address City - State <br /> AmoustofHand:S Telephone No,: <br /> Ci lender. <br /> Name <br /> Address City State <br /> lender's Telephone Na: <br /> 7. Persons"tdn the State of Florida designated by the owner upon whom notices or other doamerts may be served as provided by <br /> Section 713.13(1xa)(7).Florida Stetules: <br /> Name <br /> Adams City State <br /> Tetaptrono Number a Designated Person: <br /> a. In addition to himself,the owner designates of— <br /> to receive a copy of the I.ienor's Notice as provided In Section 713.13(1)(b).Florida Statutes. <br /> Teleow w Number of Person or Entity Designated by Owner <br /> 9. Ewabon date of Notice of Cm neacamwd(the onwation date may not be before the complation of construction arm tonal pawn"to ow <br /> corirattor,bra wilt be ono year Gan the date atecOriitng anises a tl(Ifatptt data is speafied}: <br /> WARNM+IG TO OVIINEFt ANY PAYMENTS MAD$hTf THE OVVPIER AFTER THE DtPIRAT(ON OF THE NOTICE OF CtlWMAENCEMENT <br /> ARE CONSIDFDFb IMPROPER PAYR�MS UPPER CtY1PiER 713. PART 1 SECTION 713.13 h10RIDA 5TATlJiES.AND CAN <br /> RF_S(il.T IN YOUR PAYMG TWICE FOR fNPROVQNENTS TO YCkIR PROP�RT7. A NOTIt�r OF CXMt4El +tT MUST BE <br /> RECORDED AtYD POSTED ON TttE JOB SITE THE FIRST INSPECTtON tF YQIt IttiEPR)TO OBTAIN FINANCING,CONSULT <br /> Wifli YOUR IEPIpD�E�RayO R AM ATTORNEY BEFORE COMi�NCiNG WORK OR f�C6RDWG YOUR NOTiI�OF C�tMIEPM�FJIT. <br /> arpd baGefdodare umt l have read the loregabtg nabs Of arol facts stated Mw <br /> are true to the bust <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO <br /> Sign Owner or Ownecr AeYhormed <br /> SignatowsTillwo6ce GN r trve�nT ..L)y+ <br /> The foregoog msournerd was acbmiedged more me tt>i a day of 2tl�'by <br /> 'ht7-�ry� no c (type awe oft e.g.,of&&.Moore,ttFlorrwy In rap)for <br /> �ZE K.l6 (mamea rbeharofwhom�QNAVI saudiuled). <br /> Pm--W KrownlorgaProduced Identification ci Notary Slgrrvum <br /> Type of hderaca m Produced Nam(Print) Ylk <br /> r rr.Y�r,,� VVMr1�R�7 <br /> M�datarbc�r :;� o� EXPIRES:September 4,2Q23 <br /> os n . Bonded Tito Notary Pubic UndWWW'M <br />