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<br />This space for use by Clerk of the Circuit Court only. <br /> <br />STATE OF FLORIDA .. <br />COUNTY OF PASCO ". <br />THIS IS TO CERTIFY THAT THE FOREGOING IS A <br />tRUE AND CORRECT COpy OF THE DOCUMENT ON FILE <br />OR OF BLlC RECORD IN THIS OFFICE. NESS MY <br />HAN ND OFFICIAL SEAL THI DAY OF <br />/2' <br />LERK OF CI CUlT CbURT <br />DEPUTY CLERK <br /> <br /> <br />1 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII!I 11111 11111 1111111111111 <br />2004210252 <br />Rcpl:830088 Rec: 10.00 <br />OS: 0. 00 IT: 0.00 <br />11/10/04 . Dpty Clerk <br />JEO PITTMAN, PASCO COUNTY CLERK <br />11/10/04 09:05am 1 1f41.3 <br />OR BK 6103 PG b <br /> <br />NOTIQE OF ~OMME~CEMEN:E <br /> <br />State of Florida <br /> <br />The undersigned hereby gives notice that Improvements will be made to certain real property, and In accordance wilh <br />Section 713.13 of the Florida Statutes, the following Information Is provided In the NOTICE OF COMMENCEMENT; <br /> <br />1, Legal Description of property (street addre" required): '3 '7S-o c; ( L<.. v: - J-. or J f'-~ <br />, 3 . -25 - Z. - (fJOlo- {)LcI" '0- ( <f' <br /> <br /> <br /> <br />2. <br /> <br />General descrlplion 01 Improvements: <br /> <br />A ~ (,1M ,j\/JIVt Plk}cf/-GE <br />. <br /> <br />3a, Owner Name: t:JlZAfI# /-I-oru co/J /U j)~ <br />Owner Address: fJ61/5'" C42.EEIV'?(,'O(//:' on. ZEtl/f'llltfl'-L-j PL, 3J5l./{-7t,tcICJ <br /> <br />3b. Owner's interest In site: <br /> <br />'<,dI\;o~~. _'^<.~. <br /> <br />3c. Fee Simple Title holder (ot other than owner) <br />Address: <br /> <br />Contractor Name: Gt;.H CO/V~I ucr otJ <br />Address:t.f02'> (11M(/;{7 gelO6i pO, ZrJl/f'lttLl/lAf /::ll <br /> <br /> <br /> <br />,--,(, <br />Phone: &/3- 7 cf'z -1061.( <br /> <br />5. Surety Name: <br />Address: <br /> <br />Amount of bond: <br /> <br />Phone: <br /> <br />6. Lender Name: <br />Address: <br /> <br />Contact: <br /> <br />Phone: <br /> <br />7. Person within the State ot Florida designated. by owner upon whom notices or ottier documents may be served as provided by <br />Section 7,13.13(1 )(a)7, Florida Statutes, <br /> <br />Name: <br /> <br />Address: <br />Ph9n, Number: <br /> <br />8. In addlllon to hlm$8/f, Owner designates the fQ/lowlng perton to recelv. I copy ot the Lienor's Nollce as provided In Section <br />7.13.13(1)(b), Florida Statutes.' ' <br /> <br />Name: <br /> <br />Addre..: <br />Phon, Number: <br /> <br />9. Expiration date of Nollce of Commencement (explratlon date's one (1) y~ar trom date of recording unless a dlfferenl dale Is <br />specilied). ' <br /> <br /> <br />i~ <br />0i/-I8fll~ SIgnature of Owner <br /> <br />STATE OF FLORIDA <br /> <br />~. . I " <br /> <br />T~1. foregoing Instrument was acknowledge before me this <br />I LlG I+At1 . - TIL{7 . <br />p~duced ~tJ vt.I IV <br />(Driver's License II) <br /> <br />/0 <br /> <br />date ot A/OVfl1A./?UL ,20.12..1, by <br />who (Is) (are) personally known to me or <br />.. JdentlncaUon, who did/did nottak8 an oath, <br />\ <br />~~ ~ Bruce A Asbel <br />. ~ ,; My Commission 00116710 <br />~Cl,,\.df Expires June 22. 2006 <br /> <br />~/J.~ <br /> <br />'iignature " Notary Public <br /> <br />".opy 01 any bond must be attached at the lime of recorda lion of this Nollc. of Commencement) <br />