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<br />State of
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<br />NOTICE OF COMMENCEMENT
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<br />County of ("'~/,;lJ ( <..)
<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 />
<br />1.
<br />
<br />Description of Property: ParcelNo. /;-2(, -2/, 0010- oS'/()CJ -(};;(S3
<br />,
<br />
<br />2.
<br />
<br />(Legal description of the property and street address if available)
<br />
<br />General Description of Improvement r'1~0 ?u'J! /"// &J.~ .(~v /../~':JJ1AYJL
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<br />/ 1111I1111111111111111I111111111I111I11111I111111111I1111111I
<br />2004184802
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<br />Cr, /.. / 11:,. I( L
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<br />City 2....~;;{/ri. 'f If State
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<br />
<br />Owner Information: Name
<br />
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<br />
<br />R3.
<br />
<br />Address j '70
<br />
<br />Interest in Property:
<br />
<br />4.
<br />
<br />Name of Fee Simple Titleholder:
<br />(If other than owner)
<br />
<br />Address 17G 00 r I~ r,Jr City
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<br />~:'l r ic hlvl
<br />
<br />Address . ?~? /0 12 J #J1 If J?
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<br />State /
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<br />Contractor: Name
<br />
<br />
<br />S't"~_hL-(
<br />
<br />City 2~~J/1 II:
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<br />State/- I
<br />
<br />5. Surety: Name
<br /> Address
<br /> Amount of Bond: $
<br />6. Lender: Name
<br /> Address
<br />
<br />City
<br />
<br />State
<br />
<br />Rcpl: 820346
<br />os: 0. 00
<br />10/04/04
<br />
<br />Rec: 10.00
<br />IT: 0 . 00
<br />Dpty Cler-k
<br />
<br />City
<br />
<br />State
<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:
<br />
<br />N ame i~90~~~~MAri : rr;~o fOUNT:r CLlRK
<br />Oli BK 6050 PG 1340
<br />Address City State
<br />
<br />8. In addition to himself, Owner designates
<br />
<br />of. . . to receive a copy of the Lienor's Notice as
<br />provided m SectIOn 713.13 (1) (b), Florida Statutes.
<br />
<br />9. Expiratio.n date of Noti.ce of Commencement (the expiration date is 1 year from the date
<br />of recordmg unless a dIfferent date is specified.)
<br />
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<br />. ._,,,,,,;;' /",.",..~ "",:./' .,/ ,..-;;~ ,~"-/,_,,,"_'_..__.~_..' ~#o#------
<br />Signature of Owner:.......- /~{<,,/;.> {/ ...,;:;;;'/ ~/~ ?' r:..-- ' ,-
<br />
<br />Sworn to and subscribed b~fore me this
<br />, .
<br />
<br />Notary Public: etA(f~~
<br />My C()mmis~ion Expires: \ ...
<br />PC930E>30481 A.
<br />
<br />?'
<br />
<br />day of oJ
<br />
<br />,20 .
<br />
<br />--------.-...-
<br />#t,~Y PU".:., ~_____
<br />
<br />
<br />~1' "ie" Mv COMMISSION # DO G
<br />OFl\<I EXPIRES' 145085
<br />1-800-3-NOTARY F ' August 27,2006
<br />---- L Notary Service & Bonding, Inc
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