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I This ~pace for use by Clerk of the Circuit Court only, 11111/1111/111/1111111111111111111111111111111111111111I1111 2004172034 STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE. ~ESS MY HAND 0 OFFICIAL EAL THIS / DAY OF 2 .tm!:{ ~K O~IRCUIT COURT h OEPUTY CLERK / Rcpl: 815440 OS: 0. 00 09/14/04 Rec: 10.00 IT: 0.00 Opty Clerk JED PITTMANd PASCO COUNTY CLERK 09/14/04 00:47am 1 of 1 OR BK 6025 PG 373 NOTICE OF COMMENCEMENT Slale of Florida The undersigned hereby gives notice that Improvements will be made to certain real property, and In accordance with Section 713,13 of the Florida Statutes, the following Information Is provided In the NOTICE OF COMMEN~EMENT. 1. Legal Descripllon of property (street address required): .) rr 40 ) 01 L L /J V'I..::' j /;' T /7 rJ J"...: 2"; - Z / - 001 0 - 0 z..rcJ.o - r? /1 '1 2. General description of Improvements: .lJ L-V Ill/l f IV vi /lit , Pu'+ c/( 11 Gt . Ja. Owner Name: OIZ;1,AjtJ l-l~ It{ Z C/V Owner Address: '1 b t{ 5~ (c!i?1:1~/(/ -~'{ Jp/::, tV! !-II:) DR ' z.c;.7/-I y(Zf-l1 i( f ;:t.., 3J~<fI-/7L.00 Jb. Owner's inlereslln site: Jc. Fee Simple Title holder (of olher than owner) Address: Contraclor Name: f3 ["/-1 (o/Vtr j2.JC ( / n/J iPj:: CE/V'/' !2/-:JL Fe , Address: '1()Z r:; /J1DI1//J> [1121 i.{Dt: 12jJ, Z6JN'l/e(-/1 US' F{, 5]~t..( J Phone: rl I- '7'.:r 2 - / {J6 Y 4. 5. Surely Name: Amount of bond: Address: Phone; 6. Lender Name: Contact: Address: Phone: 7. Person within the Slale of Florida designated by owner upon whom notices or other documents may be served as provid;d by Section 7,' 3.13(1 )(a)7, Florida Statutes, Name: Address: Phone Number: 8. In addition to himself, Owner designates the following person to receive II copy of the LIenor's Notice as provided In Seclion 7.13.13 ( 1 )(b). Florida Statutes. Name: Address: Phone Number: 9. Expiration date of Notice of Commencement (expiration date Is one (1) year from dale of recording unless a diHerenl date Is sDecllied). Q~ JQ~ RIGi-IA(liJ j, fFj-./fi'f/26 Slgnalure of Owner STATE OF FLORIDA .' ! L( date of ~'!;/r,E'/V//Jt3L ,20J2!L. by who (Is) (are) personally known 10 me or 88 IdentlflcaUon, who did/did not take an oath. ~~fl i ~t-ce /-1- Signature. Notary Public cU-d:; .,P ~ Bruce A Asbel !~ .; My Commission 00116710 ~..,...;I' E.xpiros June 22. 2006 (A copy of any bond must be atlached at the time of recordation of this Nollce of Commencement)