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<br />TO BE COMPLETED IF CONSRTUCTION <br />VALUE EXCEEDS $2,500.00 <br /> <br />1111111111111111I1111111111111111111111111111111111111111111 <br />2002196891 <br /> <br />Permit # <br /> <br />Rcpl: 640986 <br />OS: 0.00 <br />12/19/02 <br /> <br />Rec: 6.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />Tax Folio #O~ -J6-- d. J -{J'J60-00ooo~ lL/i./ 0 <br /> <br />OFFICIAL NOTICE <br />OF COMMENCEMENT <br /> <br />County of fCJ .5 L 0 <br /> <br />JEO PITTMANn PASCO COUNTY CLERK <br />12/19/02 00:56am 1 of 1 <br />OR BK 5173 PG 1105 <br /> <br />State of Florida <br /> <br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in <br />accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice of <br />Commencement. <br /> <br />I. Description of property: <br /> <br /> <br />2. General description of improvement: ((e y(\) o-t <br /> <br />3. Owner Information: <br />A. Name and address: i 0\-((' L. ~(n S<>rJ "3t7o;2.. L.qY\~/1\ fJve <br />B. Interest in property: h. -{. r' 7-.f.. . r I' S 'I ^ <br />C. Name and address of fee simple titleholder (if othert an owner): <br /> <br /> <br /> <br />COnAractor name ~ ad4reN 'J... ("\;v,' (\ L-; l:,J'f-, r4 ~ S 0 G <br />I \)~ 3 I 7 S r ~-b . , Lq 1"" j 0 i r:- L .3 ~ 7 7 7 <br /> <br />5. Surety (if required) <br />A. Name and address <br />B. Amount of bond $ <br /> <br />6. Lender name and address: <br /> <br />7. Persons within the State of Florida designated by Owner upon notices or other documents may be <br />served as provided by section 713.13 (1) (a) Y!9rida Statutes. <br />Name and address: ,~/ ~ <br /> <br />8. In addition to himself, Owner designates 7/7// ~c/ j'~ A.>oc.to receive a copy of the <br />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 from the date of <br />recording unless a different date is specified) <br />,20 <br /> <br />Signature of Owner or Anthorized Agent: ~~ ~ ~ <br />8~ -/J r 6d7~ <br /> <br /> <br />~ <br /> <br />~J\ ~ Dawn Dolbeny <br />;'~.i My Commission 00028533 <br />"'01' '" exPIres May 22, 2005 <br />Drivers License # <br />Social Security # <br /> <br />or <br /> <br />J <br />