<br />NOTICE OF COMMENCEMENT
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<br />State of
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<br />County of
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<br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain real propercy,
<br />and in accordance with Chapter 713, Florida Statutes, the following information is provided'
<br />this Notice of Commencement: 0)", --J..~ - )../-01../13- () DOoo - CO/{J- } _
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<br />Description of Property: Parcel No.
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<br />'I/} I it: A ~'S- 512---
<br />(Legal description of t e prop ty and street address if available)
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<br />2. General Description ofImprovement '~(' 'inof' - S 1\, ": yt fJ
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<br />1111111111111111I1111I1111111I11111I1111111111I111111111111I
<br />2004062233
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<br />3. Owner Information: Name 1~-/A.1s{M_C~~~ <":(,'-7'7.-:11_1'-
<br />Address3P33i~,",~ ,91 City .,:;J..rjuit.,
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<br />Interest in Property:
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<br />State~ ~::____
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<br />Name of Fee Simple Titleholder:
<br />(If other than owner)
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<br />Rcpt: 771602
<br />DS: 0.00
<br />04/07/04
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<br />Rec: 6.00
<br />IT: 0.00
<br />Dpt.y Clerk
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<br />Address
<br />R4, Contractor: Name ~~c:: c",\\
<br />Address \),()-~O{... \\~b
<br />5. Surety: Name \\j ~~ \-C(~
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<br />City
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<br />City Sf\i~
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<br />State
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<br />State ~(_ '~~ ~$ <) 'Jj.,
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<br />Address
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<br />City
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<br />State
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<br />Amount of Bond: $
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<br />~~90~~U"Art : fl:~o fOUNT:, C~ERK
<br />OR BK 5798 PG 1828
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<br />6. Lender: Name
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<br />Address
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<br />City
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<br />State
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<br />7. Persons within the State of Florida designated by Owner upon whom notices or othe;
<br />documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes.
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<br />Name
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<br />Address
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<br />City
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<br />State
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<br />8. In addition to himself, Owner designates
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<br />of ' to receive a copy of the Lienor's Notice as
<br />provided in Section 713.13 (1) (b), Florida Statutes.
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<br />9. Expiration date of Notice of Commencement (the expiration date is 1 year from the
<br />of recording unless a different date is specified.)
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<br />Signature of Owner,':icc~~tif:{#~:t.~/i?n/Yt~-?I k! P/Z~~,(/d#?~
<br />Sworn to and s.~~~~f;~~bCfo{~~ethis <.J.t day of 4:,J,Jr ,,/
<br />Notary Public.:" . ~., ~. /
<br />My Commissioni,~khi~~s? :{j'., 'i~'
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<br />PC93053048/A
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<br />..~';(..!/.'~i:."'" NADINE L SEElY
<br />?f' ~:~ MY COMMI~SION # DO 009331
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<br />~~t:Ff'h.~f Bonded Thru Notary Public Underwriters
<br />'17.,,11
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