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This space for use by Clerk of the Circuit Court only. <br /> t <br /> NOTICE OF COMMENCEMENT <br /> Permit Number: _ 7 <br /> Tax Folio No. <br /> The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Sccdon 713.13 of the <br /> Florida Stalutes,the following infonnution is provided in the NOTICE OF COMMENCEttEN'1'. <br /> 1Jr <br /> 1. Legal Description of property(street address required):�:i 1 ��l��U <br /> 2. General description ofimprovements: }V I�� � � ���1� �111 � U Lit <br /> 3a. Owner\Jame: 11�2>���y1 <br /> N Owner Address:_j L�� � f <br /> r[�b <br /> a—e 6 L9 —• <br /> P< 3b. Owner's interest in site: <br /> G 9 O <br /> >tA2 p j <br /> C� 30. Fee Simple Titic holder(of other than owt:cr) <br /> G <br /> �'. Address: <br /> isl .3 4. Contractor Name- <br /> C.r WTI <br /> N o<1 Address: 1 t'1 i `1 ( j(^ t• ),�} Piton : <br /> ?1 <br /> m 0. eY N <br /> 3. Surety Name: Amount of bond: <br /> Address: Phone: <br /> (�to s p` 6. Lcudcr Name: Contact: <br /> Address: Phone: <br /> m0� L <br /> N N > n 7. Person within the Statc of Florida designaled by owner upon whom notices or other docurnents may be served as provided by <br /> =L�N NC_' Section 713.13(l)(a)7,Florida Statutes. <br /> Name: Address: <br /> q ') Phone Number: <br /> aL <br /> 8. In addition to himself,Owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1)(b),Florida Statutes. <br /> Name: Address: <br /> Phone Number: <br /> 9. Expiration date of Notice of Commencement(expiration date is one(1)year from date of recording unless a different date is <br /> specified). <br /> WARNING TO OWNER: ANY PAYMENTS MADE,BY THE OWNER AFTER THE:EXPIRATION OF YI•E NOTICE OF COMMENCEMENT ARE, <br /> CONSIDERED IMPROPER PAYMENTS UNDER CIIAPTER 71X PART 1,SECTION 713.13,FLORIDA STATUTES.AND CAN RESULT IN YOUR <br /> PAYING TWICE:FOR IMPROVEMENTS TO YOUR PROPERTY,A NO'ITCF OF COMMENC AIENT NIU.ST•RE RECORDED AND POSTED ON THE <br /> JOB SITE REFORETHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING.CONSULT wiTti YOUR I.ENDE:R OR AN ATTORNEY <br /> REFORE CONN./IE.NCING WORK ORRFCC)RDINC YOLtlt No'rt(:E OF COMME:\CE\1&\'rr.. <br /> Signature of Owner or Lessee,or Owner's or Le:sec's Au ori7ed Oilicerinirector;Partner•'Niana_cr <br /> Signatory's Title Office <br /> STATE OF FLORIDA <br /> COUNTY OF HILT SHOROUGH <br /> 'file foregoing fnstmmrnt e;acknowledge ix fom me this��day of R I .20 <br /> by as for <br /> Personally Known Oil P oduccd Identification _ <br /> / <br /> Type of Identification Produced U� C —1/1 vdIM <br /> JhnStgnamm-No«ry blic <br /> Under povilties of perjury,)declare that I have read the fiwcgoing and that the facts stated in it are true to the lust of my knowledge and belief. <br /> �V "k NotaryState of Florida <br /> Sitnautre orNatural Per;un Signine.l ovc Heather <br /> • attherr Ann Bledsoe <br /> • <br /> tAtnprol'anrlxmd mvu lx•anncched mlhe lime rthit fafiie ol'C<m+mnurmenn My Commission HH 017368 <br /> w n Expires 07101/2024 <br /> c <br />