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<br />Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording <br />unless a different is specified.) <br /> <br />Signature of Owner: X' ~ <br /> <br />State o'f F \. '0 (': (\ t.'_ County of c\\ ~.- t0t~'~ ~ <br /> <br />Sl6'orn to and subscribed before me this ;2.3.'-i~ daypf ":l'l~(, ,20ci, by <br />---1\'0 ~~ <-~ F \L\(<.r e.. who IS ~ persona y nown to me or L) produced <br />- as Identification. <br /> <br />Nota,~ Public C::::::ltJ'- . Q~", (' ~C~'-- <br /> <br />4, <br />'~""',<'~" <br />~:, .. <br />, i~ <br />~\!. <br /> <br />6. <br /> <br />7. <br /> <br />8, <br /> <br />9. <br /> <br />16/2]/04 MON 08:02 FAX 352 683 2206 <br /> <br />Assured Comfort <br /> <br />@003 <br /> <br />11~!(UI;IIOIIS for using a POF fill-In form are on the last page-> <br /> <br />Permit No. <br /> <br />1/11111111111111111I1111111111111111111111111111111111111111 <br />2004162316 <br />Rcpt: 811323 Rec: 10.00 <br />DS: 0.00 IT: 0.00 <br />08/27/04 Dpty Clerk <br />JED PITTMA~ PASCO COUNTY CLERK <br />08/27/04 1..::: : 20pm 1 of 1 <br />OR BK 6003 PG 784 <br /> <br />KeyNo if ~6 ~I 0010 0'196000\0 <br /> <br />NOTICE OF COMMENCEMENT ,-;::/4-::-rr'J <br />County of lLfrULV <br /> <br />State of FLORIDA <br /> <br /> <br />1. <br /> <br />2, <br /> <br />// t:--//?~ <br /> <br />.6:- ~c:../" ~/?6.f7V7 <br /> <br />3. <br /> <br />Owner InfQJ;mation: Name 5"............ /JZc:6-/ 4/"a-krt!: CP-Y.?'.5-/ <br />Address /0 e?Z' /S'({? CIty €"'-P'.::YL'SP///F State <br />Jnterest in Prope y: q ~ /t/p TC <br />Name of Fee Simple TItleholder (It other than owner): <br />Address City <br /> <br />Contractor:, Name 4.:rYae6Z? ~/??/.2.r/ 0--4~ <br />Address: /3'71" -r"'r- 4~ Ity <br />Phone No., ;:S-c. .2 22. FaxrJO. <br /> <br />F/ <br /> <br />Surety: Name <br />Address <br />Amount at Bond: $ <br /> <br />lender: Name <br />Address - <br />Phone No. _ <br /> <br /> <br />? <br /> <br />CIty <br />Phone No. <br /> <br />--- ~tate <br />Fax No. <br /> <br />City <br />Fax No. <br /> <br />State <br /> <br />Persons within the State of Florida designated by Owner upon whom notices or other documents may <br />be served as provided by Section 713.13(1 )(a)(7), Florida Statutes: <br />Name Address City State <br />Phone No. Fax No. <br /> <br />In addition to himself, Owner designates of <br />to receive a copy of tne Lienor's N'otice as prOVIded In Section 113. 13(1 )(5), FlOrida Statutes. <br /> <br /> <br />(;;~~110: i <br /> <br />1~11(.1;s~j(ln OD()2;~091 <br /> <br />f:'. \\-~.)I_ht8.\pcnnits\stj-dPP.v...pd <br /> <br />Q5-21-Q4 <br /> <br />"";'V fJ1 '~O(J5 <br /> <br />Rev. 09/01/02 <br /> <br />Q7:48 <br /> <br />RECEIVED FROM:352 583 22e5 <br /> <br />p.e3 <br />