<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 property,
<br />and in accordance with Chapter 713, Florida Statutes, the following information is provided in
<br />this Notice of Commencement:
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<br />1. Description of Property: Parcel No. (,)"~ J j--{,( (, I / ~ C( i /(( , c (,.
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<br />(Legal description of the property and street address if available)
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<br />2.
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<br />General Description of Improvement J/j
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<br />/11111111111111111111I11111111111111111111111111111I11I1111I
<br />2004178094
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<br />3. Owner Information: Name II e /-/; ,..-)
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<br />Address '').2t I:':) 7 lIt ,771- Hct_
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<br />Rcpl: 817752 Rec: 10.00
<br />OS: 0.00 IT: 0.00
<br />09/22/04 --___u_" Dpty Clerk
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<br />Interest in Property:
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<br />Name of Fee Simple Titleholder:
<br />(If other than owner)
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<br />ASCO COUNTY CLERK
<br />~\~i2)1\MA~i:~lPm ~G if139
<br />OR BK 6031)
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<br />Address
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<br />City
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<br />State
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<br />R4. Contractor: Name "?Ji .\ inOi\ ~?IC,C'f;I' (.~,
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<br />'(-"'l Address '?72~'5 ~)iI. 5({ (L City /( Pit" II, U J
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<br />State
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<br />S. Surety: Name
<br /> Address
<br /> Amount of Bond: $
<br />6. Lender: Name
<br /> Address
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<br />City
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<br />State
<br />
<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 other
<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
<br />
<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 date
<br />of recording unless a different date is specified.)
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<br />~ Signature o~}~~~e;:
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<br />Sworn tou.n,Q subscribe
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<br />day of
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<br />Notary PLlbfic~-
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<br />My Commission Expires:
<br />PC93053048/A
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<br />r.. , . My Commission 00165687
<br />~0Ii ExpIres January 0;;, ",u07
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