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<br />TO BE COMPLETED IF CONSTRUCTION
<br />VALUE EXCEEDS $2,500.00
<br />
<br />11111111111I11111 11111 1111I11111 1111111111 1111 1111
<br />97137193
<br />Rcpt: 199900 Rec: 6.00
<br />DS: 0.00 IT: 0.00
<br />12/05/97 Dotv Cler~
<br />JED PITTMAN, PASCO COUNTY CLERK
<br />12/05/97 12:50p. 1 of 1
<br />OR BK 3847 PG 71
<br />
<br />Permit #
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<br />ST/\TE C)~ F'..,::;C~~D,\
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<br />Tax Folio #
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<br /><-: _.~ :~ T.:'> :-.
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<br />OFFICIAL NOTICE ~I~';;I;'~:-';~''''~~' ":~fll;~iS:,:
<br />~: ~~:~E:~:~E:J" r " ~:p~'TS:ili D.C
<br />
<br />
<br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
<br />property, and in accordance with Chapter 713, Florida Statutes, the following information is
<br />provided in this Notice of Commencement.
<br />
<br />1. Description of property: /1 tJ /'/ 'I,
<br />/J 5 .2C. ;; I 6/ ']6 00(:;0 C)
<br />
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<br />-.:,'~/,::.::,_i. ,:~;'-:T ~'(:;-,j Fd.::.
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<br />J ~l/n /. I j, ;2,,"j? ~v j, ~ ~~ /' h //,
<br />00.>.0 ~. 1-.$:./ / / . .
<br />
<br />2, General description of improvement:
<br />
<br />/f f - kat:? /'
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<br />Si j,~' ~ /;,.
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<br />
<br />3. Owner Information: //
<br />A. Name and address A If rf / ti t ~ R6 ~ If" ( / J(" 0/( ~' h /I /v b
<br />B. Interest in property: ,6$/ '?'/4;'~/,
<br />C. Name and address of fee simple titleholder (if other than owner), . . ,/. P"". .
<br />. ,_ z." /" "/'J ,II (I' .1',) /7..
<br />'0 ,I . '3 ;~.~ I
<br />HlI j Contractor name ~np ad.dress.: 1)../ b /.v C' I P (' tf' S / {' /k ~
<br />10 9 ? / 'J:F -r( 5 ~~ { .t. ;, ,;' a ,-F t. ? ~i } -J J
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<br />5. Surety (if required)
<br />A. Name and address
<br />B. Amount of bond $ /
<br />/
<br />6. Lender name and address:
<br />
<br />i/ //4-
<br />
<br />~ /~
<br />~
<br />
<br />7. Persons within the State of Florida designated by Owner upon notices or other
<br />documents may be served as provided by section 713.13 (1) (a) 7 Florida Statutes.
<br />Name and address: 1M? lib C' / /? ~ ~~
<br />/07l,?r ?S-'1'~ 5"1" f t'il"7~),c~ > ?i'11?
<br />8. In addition to himself, Owner deSIgnates to receive
<br />a copy of the Lienor's Notice as provided in Section 713.13 (1) (b) Florida Statutes.
<br />
<br />9. Expiration date of Notice of Commencement (the expiration date is one (1) year
<br />from the date of recording unless a different date is specified)
<br />, 199_.
<br />-j;('I ,J<?/'A'/,IJ r r .J~' 4 kar~',1 ~I":'"
<br />1697/ ?f"f"1 $-"", /~O/e /rC, ~f?.J?/2 /? ?/) / ORlEIrtA^,AJ
<br />Signature of Owner or Authorized Agent: ~*"'" / I /dI~A~~--- 1?
<br />/J,;/,uc/"vl' f2. a.. O~~~ d ~_Irf, 32. 7-0
<br />~'0 .
<br />Sworn to and subscribed before me this
<br />> j. Pi day of !P{(.l:4 hi;- 11991.
<br />
<br />
<br />~~
<br />
<br />My commission expires: 6(- I / - 6/
<br />
<br />
<br />DARRElJOHNSON
<br />MY COMMISSION' cc 654912
<br />EXPIRES: June 11, 2001
<br />IIonded TbIU NOlIIy PublIc iJrtdeIwItIJlI
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