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<br />" <br /> <br />f f\..OR\O~ I"G IS ~ <br /> <br />~'tJ~\~r~~r~6~~o~ir~~;, <br /> <br />i~U~ t>.tl'J ~~ ~~CQ~O I" ~t>.\.. 1\-\ I S~ <br />O~ O~ plJ Q~~IClt>.\.. S '2.atIJ. Rl <br />~"O t>.~O. \) CI~Ctlli COlJ ;1'{ C\..EWt<-. <br />"", ClE~I<.. _. OEPlJ <br />Jt.O \2':\\ 1"\'''' - <br /> <br />'3'1 <br /> <br />1111I111111111I1111111111111111111111111I1111111111111111111 <br />2002016641 <br /> <br />Rcpt: 562016 <br />DS: 0.00 <br />01/31/02 <br /> <br />Rec: 6.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br /> <br />JED PITTMAN PASCO COUNTY CLERK <br />01/31/02 10:25am 1 of 1 <br />OR BK 4846 PG 1902 <br /> <br />N <br /> <br /> <br />State of Florida <br />County of <br /> <br /> <br />2. General description of Improvements: 1<'IF-At)~P <br /> <br />3a. <br /> <br />=~":.:.?~;li'<l;~~~ ~ .fi;:YJHiLLS" FI. B~S-W <br /> <br />3b. <br /> <br />Owner's interest in site: <br /> <br />I) w"J <br /> <br />3c. Fee Simple Title holder (of other than owner) <br />Address: . <br /> <br />Contractor Name: ){:,v~ 1/'; Rc:cl/v <br />Address: :t (0 (' /d c, <br /> <br />A./,j <br />A./n. <br /> <br />4. <br /> <br /> <br />. ".'-;'-r <br /> <br />. .~ <br /> <br />5. <br /> <br />Surety Name: ;..//7 Amount of bond: f4/.9 <br />Address: Iv' n- <br />Lender Name: V/l Contact: "v LJ <br />Address: ~A. <br /> <br />6. <br /> <br />7. Person within the State of Florida designated by owner upon whom notices or other documents may be served a8 <br />provided by Section 713.13(1)(a)7, Florida Statues. <br /> <br />Name: <br /> <br />)../1)- <br /> <br />Address: <br /> <br />,v-~ <br /> <br />8. In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in <br />SectIon 713.13(1 )(b), Florida Statutes. <br /> <br />Name: <br /> <br />,v '1- <br /> <br />Address: <br /> <br />j>o../,j <br /> <br />Expiration date of Notice of Commencement (expiration date is one (1) year from date of recording unless a <br />different date Is specffled). Ie .- /.- C> Z. <br /> <br />~AA/ "1Jf_~ ~~~.,.tI'n ~4t..~ <br />Signature of er <br /> <br />STATE OF FLORIDA <br />COUNTY OF <br />The foregoing instrument was acknowledged before me thi8 <br /> <br />11~,..<!.f"7 PI. Ir~/t. <br /> <br />). ~l'l:~te of <br /> <br />J . / R~:}.1\ -- <br />-/j~, ....1~- <br /> <br />who(Is)(~ <br /> <br />a8 idenUftcation, who did/did not take an oath. <br />~\\\\UIIl!",,,,1. <br />~""''I(..~ C. YOw. III",~ <br />~ \0 ........ ~(~ <br />~ .J~V.ISSION~.. ~ <br />~ ..:... G ~'\ 13. <00 ~.. \ <br />: :~ 'S (.? ~\ = <br />=*: .... :*= <br />:: : . ::- <br />S t -. Me," 11i0007 . ~ ~: <br />~::;4....o. .&..~~ <br />~~-^'.-f'-:l ~~ .~~ <br />\;.>J- A.=ljflqsura~ ti ...\v# <br />~ ~......... c'c ~~ <br />l'.f.fll. lie STA1~ ~,'~ <br />~"''';I'''''''\\~ <br /> <br />~me or produced <br />!"- . (Driver's Ilcense#) <br /> <br /> <br />N~~PrintN0f8ry'.N8II18 <br /> <br /> <br />My Commission Expires Commission Number <br />(A copy of any bond must be attached at the time of recordation of this Notice of Commencement) <br />