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<br />This space fC?r use by the Clerk of the Circuit Court only. <br /> <br />11111111111111111111111111111111111111111111111111111111111I <br />2004108079 <br /> <br />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 PU8L1C RECORD IN THiS OFFICE TNESS~~' <br />HAND M J "'melAL SEAL THI OA'l(. OF <br />2 ,,",I,' <br />, "LERK Of CIRCUIT COURT ; <br />.__ DEPUTY CLERK <br /> <br />Rept: 789903 <br />DS: 0.00 <br />06/10/04 <br /> <br />Ree: 10.00 <br />IT: 0.00 <br />_______ Dpty Clerk <br /> <br />JED P <br />BY <br /> <br /> <br />JED PITT"AN~ PASCO COUNTY CLERK <br />06/ 10/04 0~ : 31Pm 1 of 1 <br />OR BK 589't PG 556 <br /> <br />State of Florida <br />County of Hillsborough <br /> <br />NOTICE OF COMMENCEMENT <br /> <br />Permit Number: <br />Parcell.D. Number: It/U. 'Z-/'6{)//f) ~ G-e20t),OO/O <br /> <br />The undersigned hereby gives notice that Improvements will be made to a certain real property, and in accordance with <br />section 713.13 of the Florida Statutes, the following Information is provided in the NOTICE OF COMM~NCEMENT. <br /> <br />Legal description of improvements: <br /> <br />~~~~ \2> ~sr- - <br />lc:>\ l ~"2.. ~lt:~ ~~ I ~,4'b[:)lnD"':> <br /> <br />General description.Pt ilJllilrove e~: ~IMMING. POOL <br />Owner's Name: W ILl r~..$'U:.. - """" L ~ <br />~< <br />Owner's Address: I t8 - Sr- <br /> <br /> <br /> <br />.3 -gS-~ <br /> <br />Owner's interest in site: Primary Residence <br /> <br />~ <br /> <br />Fee Simple Title Holder (of other than the owner): <br /> <br />Address: <br />Contractors Name: Harold R. Koster <br />Address: 13540 N. Florida Ave #101 Tam a <br />Surety Name: Old Dominion Insurance Co. <br />Address: 1339 Arlinqton Street Orlando. FL 32805 <br />Lender Name: <br />Address: <br /> <br /> <br />Phone: 813-964-0000 <br />Amount of bond: $5000.00 <br />Phone: 800-940-1543 <br />Contact: <br />Phone: <br /> <br />Persons within the State of Florida designated by owner upon whom notices or other documents may be served as <br />provided by Section 713.13(1 )(.)7, Fiortd. St.~ut s. <br /> <br />Name: 11 ~_ <br />Address: I - Phone: <br />. <br /> <br />In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in <br />Section 713.13(1)(b), Florida Statutes. ~. <br />Name: .I r- <br />Address: /.......... Phone: <br /> <br />Expiration date of Notice of Commencement (expiration date is one (I) year from date of recording unless a different date <br />is specified). . PMLp ~ <br /> <br />~~~ <br /> <br />- ~ .,0 Qt:. Z{S~ ?.J?-.l <br />~ I/L' l\ <br />~ q ~ day of ~ ';:::t-<. ---k'<J )A..~ 2004, <br />wh known to m or <br /> <br />Signature of Owner <br /> <br />STATE OF FLORIDA <br />COUNTY OF HILLSBOROUGH <br /> <br />The ~~m,strument was acknowledQed before me this <br />byl.hf ~ 15~u f~ S~~ <br />produced <br /> <br /> <br />" '\WRm R. onJSE <br />c.. -. !II'- <br />, No. 00002227 <br />Sig ur - otary Public ~ 1I0lIlIr1.D; <br /> <br />(NOTE: a copy of any bond must be attached at the time of recordation of this Notice of Commencement.) <br /> <br /> <br />as identification, who did/did not take an oath. <br /> <br /> <br />~ <br />l',. '> <br />