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<br />A/ State of !-L-vk-/b4
<br />
<br />NOTICE OF COMMENCEMENT
<br />County of "R9sco
<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 />
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<br />1. Description of Property: Parcel No. )_3 - :;2~') r' P ! - 'O/{)- f)uhOtJ -tf}c;V 0 !
<br />'t>" ',.j") , A /,_,. .." 6;t39. .~ /(/rJh _u_, ~=
<br />I (.t/..,'{::'(L f7' 1"--'6 L(), IVt'U:J/lL- 1[12, 2 -!II' rhif"-' 3354/~
<br />(Legal description of the property and street address if ail able ) _
<br />
<br />2. General Description of Improvement :5)fe W(()~.c:.J 15U//J
<br />
<br />?f2?Jpe=:;s/oAJAc OFFice ==
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<br />3. Owner Information: Name lJ/c /J1e?f/t,:L
<br />/J'"7-2 (/; .. /2. DJ.5kbE
<br />Address-1_-:>v;(.:7 --iI/"r..J:t!-l(r- Ie 0. I City
<br />
<br />Interest in Property: (;WA)t? 12- /
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<br />
<br />Name of Fee Simple Titleholder: ..V/;4
<br />(If other than owner)
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<br />State FL
<br />3C/"Qf' Q307
<br />
<br />Address City State
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<br />4. Contractor: Name Co;U.sr~LC rro..u /Ifl4aJN-7CI11LAJ T .:SeteU /Ce!5.
<br />
<br />Address Po /!xJ)( /LfS- ' City/bJ--t eC4E'Cf State FL
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<br />5. Surety: Name
<br />
<br />Address
<br />
<br />City
<br />
<br />State
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<br />Amount of Bond: $
<br />6. Lender: Name /VI/!
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<br />Rcpt: 790167 Rec: 10.00
<br />DS: 0.00 IT 0 00
<br />06/11/04 : .
<br />---____ Dpty Clerk
<br />
<br />Address
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<br />City
<br />
<br />State
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<br />of to receive a copy of the Lienor's Notice as cn~n
<br />provided in Section 713.13 (1 ) (b), Florida Statutes. m"'i
<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.) "", -""~-1'
<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:
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<br />
<br />Name
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<br />Address
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<br />City
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<br />State
<br />
<br />8. In addition to himself, Owner designates
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<br />Signature Ofowner:~ ~ _,
<br />Sworn to and subscribed before me this ~ day of
<br />Notary Public: ex ~cJ~ Q ->4-( jAMj ~
<br />My Commission Expires: l D l ~ 1{ J () S-
<br />PC93053048/A
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