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<br />9. Expiration date of Notice of Commencement (the expiration date is 1 year from the <br />date of recording ~different date is specified.) <br /> <br />SignatureofOwner:~~ ~ f'<AH.S ..fae.,\,...."..j M.Q"""~ <br /> <br />-/ 0 sc... <br />Owner Printed Name: __'? t+"UJc: ::s:' L~B.LAlU(O ;:Q ~~ <br />CD s." <br />~~.... <br />sooo4 <br />(JIN~ <br />(Sl....~ <br />(Sl~ <br />....~: <br />11(11 <br />:in <br />o <br />." ....n <br />C) 0 <br />c: <br />Z <br />....00004 <br />N-"-< <br />n <br />(0.....- <br />W~ <br />~ <br /> <br />State of Florida <br /> <br />Permit No. <br /> <br />Key No. <br /> <br />.,... ~ <br />'-', <br /> <br />Ii <br /> <br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain <br />real property, and in accordance with Chapter 113, Florida State Statutes, .the following <br />information is provided in this Notice of Commencement: <br /> <br />1. Description of Property: Parcel No. j Z' LC, ~ L\- (::)Que. O'-\C\ \:J u . \)() u ~ <br /> <br />2. General Description of Improvement R E: - ~ 0 0 r="' <br /> <br />3. Owner Information: Name ~t T-(' of ZJ;;"PHY~H-lLLS <br />Address 3q Lf 21 ~0lJTI+ A: \IE' . City ZE"f>> H Y R ~ t LL ~ State F'L <br />Phone No. e> 13 I '7SD, 0022 Fax No. B(3, lBo. ooct S <br /> <br />4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 33525 <br /> <br />5. Surety: Boyett Insurance, 14114-Th Street, Dade City, FL 33525 <br /> <br />6. Lender: Name/Address: <br /> <br />1. Persons within the State of Florida designated by Owner upon whom notices or other <br />. documents may be served as provided by Section 113.13(1)(b), Florida Statutes. <br /> <br />8. In addition to himself, Owner designates Paul Schaper COnstIUctionIRoofing, Inc. of <br />11250 US Highway 98 South, Dade City, FL 33525 to receive a copy of the Leinor's <br />Notice as provided in Section 113.13(1)(a)(1), Florida Statutes. <br /> <br />ill: Personally Known X <br />. <br /> <br /> <br />Sworn to and subscribed befure me tbis~ al'day orr".Jl tJ- <br /> <br />Notary Public: {l~M____ d ~t'J< ~~ <br />(Type, Print, or Stamp Name~fNotary) STATE OF FLORIDA <br />COUNTY OF PASCO <br />THIS IS TO CERTIFY THAT THE FOREGOING IS A <br />TRUE AND CORRECT copy OF THE DOCUMENT ON FILE <br />OR OF PUBLIC RECORD It~ THIS OFF!C~\YJTNESS MY <br />HAND AND FFICIAL SEAL THIS~DAY OF <br />2 t1l2.l:-- <br />RK OF CIRCUIT COURT <br />DEPUTY CLERK <br /> <br />20 Q2.. <br /> <br />\tV P 1I OFR IIlAL <br />0-.;.... C9~ CNlOl..YNlEADIAN <br />,. COUMlS$lQ\l NUMBER <br />~ < ~2 <br />~ ~ MY ~ISSIONEXPIIEs <br />_~?F f\.O APR. 19 <br /> <br />JED PI <br />BY <br /> <br /> <br />'N= <br />s= <br />s= <br />N= <br />....--- <br />s= <br />U1= <br />.N== <br />N- <br />N==: <br />- <br /> <br />- <br /> <br />- <br />- <br />== <br />==: <br />--- <br /> <br />--- <br />--- <br />--- <br />--- <br /> <br />== <br />- <br />~ <br /> <br />SC;:Q <br />...,(IIn <br />,..v <br />fls:. <br />'SOl <br />sss <br />N .... <br />..., <br />CD <br />U) <br /> <br />;:Q <br />....11 <br />ooo4n <br /> <br />sm <br />e, , <br />'ass <br />~ss <br /> <br />n <br />- <br />.. <br />., <br />~ <br />