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'LA. '!In LAWS F. 713.13 SEMINOl!: FORM 40B NOTICE OF COMMENCEMENT ~:a;~:f a~orida } INEPARE IN DUPUCATa ~~~IJI!I~I!~ll~11I1I11111111I11I1111I1111I11I1I11111I1 The undersigned hereby informs all concerned that improvements will be made ta certain real property, and in accordance with section 713~ 13 of the Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT. Description af property.. '~>J' .A~. ..i~. .~.P~...~,~.. \l'1~'<=>:-' .\9'~"l"""""""""""'" ... '" ...... ......... ......Lcrr~:2>(q.r~..~.....B44l~~..rl.\............ ........... ... ...... .... ........... .... ...... .... ....... ..... ...... .......... '" ............................ ............. ....... ...... ..... .0...... .......... ..... ....... General description of improvements .. .~-:-.~'r-. . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . Roine,.. .G~.+~I'l~~............ ............................................................. ....... '. - A-tdress ..~~.\..~~..~~!...t.~~Rl\~~S..t.h-...~~~.......................... Owner's interest in site of the improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder (if ether than owner) Name Rcpt: 631575 DS: 0.00 11/08/02 Rec: 6.00 IT: 0.00 Dpty Cl.rk Address ................................ Contractor. . . . . . . . . . . . . . , . , . . . . . . . . JED PITT"ANft PASCO COUNTY CLERK 11/08/02 00:47am 1 0' 1 OR BK 5129 PG 1054 Address ..................... .................................................................., Surety (if any) ......... ........................................................,.............................................. Address ...................................................................................... Amount of bond S . . . , . . . . . . . . . . . Any person making a loan for the construction of the improvements: Name.............. .No~~.............................................................................................. Address ............................................................,........................................................... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .............. ~C;)~. . . " . . . . . . . . . . . .. . . . . . . . . ... . . '" . . . . . . . . . . . . . . , . . . . . . . . . . . . . . .. . . . . . . . . . . . .. .. . . . . . .. '" . . . . . . . Address ........................................................................................................................ In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (11 (h), Florida Statutes. (Fill in at Owner's option). Name . . . . . . . . . . . . . . . - . . . . . . '~'--I ~ '_." t___.____ . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address ,....................................................................................... .... THIS SPACE FOR RECORDER'S USE ONLY ':><... .1/~..R!flo4. .,....... /. . ..... Owner Sworn to and subscribed before me this .... . . . . . . . . . . . . . . . . . . . . . . . . . . _1 /J ............,...._....da~of I t; ~r--.:......... ........ .. ~0L...f/~ ~. . Notary ~~ _jOlf " Angela l Helms ~ . -, *My C, ommission CC800247 -;. ...... E """"., xp/res January 3, 2003 ,. .t9C10.C