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<br />c. Name and address of fee simple titleholder (if other than Borrower): <br /> <br />OR BK 4437 PG 1974 <br />2 of 3 <br /> <br />4. Contractor: <br />a. Name and address DAVIS COIlTUCTIRG, IRC. <br />37826 sn RIDGB CIIlCLB <br />DADB CITY, rL 33525-0838 <br />b. Phone Number (352) 567-1994 <br />c. Fax Number <br /> <br />5. Surety: <br />a, Name and address HI A <br />H/A <br />RIA <br /> <br />b. Phone Number <br />c. Fax Number <br /> <br />d. Amount of bond: $ <br /> <br />6. lender: <br />a, Name and address SWlTruat Bank <br />P.O. Box 156 <br />B~ook.yill., PL 34605 <br />~ Phone Number '(352) 796-5151 <br /> <br />7. Persons within the State of Florida designated by Borrower upon whom notices or other documents may be served as provided by <br />Section 713.13(1) (a) 7., Aorida Statutes: <br />a. Name and address S1JH'1'RVST BARK AT'l"IhA. BOYLB PL BROOltSVILL 9202 <br />P. O. BOX 156 <br />BROOItSVILLB, PL 34605 <br />b, Phone Number (352) 754-5666 <br />c, Fax Number <br /> <br />8. In addition to Owner, Owner designates SUllTRVST BAHJt-A. BOYLE 9202 <br />of P. O. BOX 156, BROOItSVILLB, rL 34605 <br />to receive a copy of the lienor's Notice as provided in Section 713.13 (1) (b), Aorida Statutes. <br />a. Phone Number (352) 754-5666 <br />b, Fax Number <br /> <br />9. Expiration date of Notice of Commencement (the expiralion date is one (1) year from the date of recording unless a different date is <br />specified): <br /> <br />OWNER: DAVIS COIlTllACTIRG, IRe., <br />A PLORIDA COJt.POJt.ATIOR <br />~~~~ <br />AS ITS PUSIDBRT <br />OWNER: <br /> <br /> <br />PUSIDBRT <br />