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<br />State of <br /> <br />NOTICE OF COMMENCEMENT <br />FIC)(IO On.... County of Yo ~jCAJ <br /> <br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, <br />and in accordance with Chapter 713, Florida Statutes, the following information is provided in <br />this Notice of Commencement: <br /> <br />1. Description of Property: Parcel No. I/-;J I (J'~:3 }-DOI 0- QitJ{)O() -0/(/ LJ <br /> <br />(Legal description of the property and street address if available) <br /> <br />2, General Description ofImprovement ~ - (/rrrO ~W~Wl~~1~1I1111"111I1"1I1111111111111111111111 <br /> <br />Rcpt: 762372 <br />DS: 0.00 <br />03/08/04 <br /> <br />Rec: 6.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />3. <br /> <br />Owner Information: Name C}1 I (J(ld nr <br /> <br />("'"'t " <br /> <br />Address _ -'153';) LfH\. ( '5fK:-tr <br /> <br />j7'Ja r--/; Ii i(~ <br />City 7refhlf/h//6 StateFL<3?lY-! / <br /> <br />Interest in Property: <br /> <br /> <br />Name of Fee Simple Titleholder: <br />(If other than owner) <br />Address City State <br />Contractor: Name h 23lt ~I 1 'h [\()i;;~ <br />Address 3T:9"~5)2 5LjUJ City i -tpAW/;;/f<, State fL .5:xx/J <br /> <br />~~90~~~lMAre : ff:;o fOUNT:, C'iERK <br />OR BK 5755 PG 1096 <br /> <br />S. Surety: Name <br /> Address <br /> Amount of Bond: $ <br />6. Lender: Name <br /> Address <br /> <br />City State <br /> <br />City State <br /> <br />7. Persons within the State of Florida designated by Owner upon whom notices or other <br />documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: <br /> <br />Name <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />8. In addition to himself, Owner designates <br /> <br />of to leceive a copy of the Lienor's Notice as <br />provided in Section 713.13 (1) (b), Florida Statutes. <br /> <br />9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date <br />of recording unless a different date is specified.) <br /> <br />Signature of Owner: <br /> <br />Sworn to and subscribed before miffhis \.- /.dayof ';?)t'{ L,(J/J <br /> <br />Notary Public: ~l}Q i)f-/~ <br /> <br />My Commission Expires: ~~ Angela Helms <br />.i"J . My CornmtSSlOn DD16b5111 <br />PC93053048/ A '\~,./ Expires January 03, 2007 <br /> <br /> <br />,20()cj. <br />