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<br />This instrument prepared by: It. ... <br />Name 1-1 Or ( 0 r\. L-Ii v\J S \. ~ ( f <br />Address ) C:.1f f\A1..A I C\ e L. ::> r V u f' ,,-,,~ <br />Permit # Folio # <br /> <br /> <br />1111111111111111I1111111111111111111111111111111111111111111 <br />2004198691 <br /> <br />NOTICE OF COMMENCEMENT <br />State of Florida () <br />County of IBAWaiIi t' 0. ~(" \) <br />The undersigned hereby gives notice that improvement will be made to <br />certain real property, and in accordance with Chapter 713, Florida Statutes. <br />the following information is provided in this Notice of Commencement: <br /> <br />1. Property legal Description D Lot DUnit _ [}3lock [}3ld9_ <br />Subdivision/Condominium <br />PClrCl..1 -# 3 L.f .2.S'-2..1 - OOt v - 00 10l.1-~iC <br />( ) lengthy legal, please see description attached hereto <br /> <br />Rcpl: 825618 <br />OS: 0. 00 <br />10/25/04 <br /> <br />Rec: 10.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />JEO PITTMAN~ PASCO COUNTY CLERK <br />10/25/04 1~:05pm 1 of 1 <br />OR BK 6079 PG 701 <br /> <br />space above reserved for use of recording office. <br /> <br />2. General Description of <br />Improvement: <br /> <br /> <br />3. Property Owner Name: <br />Mailing Address: <br />and interest in property: <br />Name/mailing address of <br />fee simple title holder if <br />other than owner: <br /> <br />4. Contractor name: <br />Address: <br />Phone Number: <br /> <br />5. If Surety Bond, Name: <br />and address of Surety: <br />and amount of Bond: $ <br />Phone Number: <br /> <br />~(A.. <br /> <br />(Copy of bond must be attached to this Notice at time of recording) <br />Fax#: (optional- if service by fax is acceptable) <br /> <br />6. lender name: <br />Address: N..{A.. <br />Phone Number: Fax#: (optional- if service by fax is acceptable) <br /> <br />7. Persons within the State of Florida (names and addresses) designated by property owner upon whom Notices <br />or other documents may be served as provided by Section 713.13(1)(A)7., Florida Statutes: <br />Name: ~ <br />Address: f'-'T'J....... <br />Phone Number: Fax#: (optional- if service by fax is acceptable) <br /> <br />8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as <br />provided by Section 713.13(1](B), Florida Statutes: <br />Name: . ./ <br />Address: I "'-'f'J"'. <br /> <br />Phone Number: Fax#: (optional- if service by fax is acceptable) <br /> <br />9. EXPir~tion date ~OfthiS: .~(EXPires one y~ar from date recorded unless a different date is specified) <br /> <br />Ownerslgnature: ~_ Owner signature: <br />Printed name: iEL- Printed name: <br />SWORN TO AND SUBSCRIBED before me IOfh f\^ 1_1- . 04 <br />this _ I I\~_' I n ._,..1 . 0 day Q~ ~I:QQeV 20 _, by: <br />U. ~Ulle. ~aruUe, l VIc.ePrea~ <br />personally known to ~r!ro~duced. I' as identification, <br /> <br />Notary signature: :dU)__ .3IDrlQ..,; L <br />Printed name: '"TIn/1, L. ~itr1e My commission expires: ()~f\)bey Z"2,2t'f:h <br /> <br />seal: <br /> <br /> <br />· OFFICIAL SEAL. <br />Notary Public, Nor1h CaroIlna <br />Rli Cotmty ofWll<es <br />~ TIna L Stone <br />My Commission ExpIres 1012212006 <br /> <br />Name <br /> <br />space above this line reserved for use of the recording office <br />14 n t I {~,\. l ,,100 ~ t "'-, .. f' <br />3 ('. ({. M \.( I c{ .e~, S t. , <br />o l.t ;0. It\. 1.",",,- N (. 2_ -) -7 V '-I <br /> <br />Return recorded document to:~ <br /> <br />Address <br />