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This space for use by Clerk of the Circuit Court only. STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A tRUE AND CORRECT coPy 0' THE DOCUMENT ON FILE o OFPUBlIC "'CORD IN 1H';'''tITNESS '" H 0 AND OFFICIAL AL THIS' DAY OF 2 . JED PI , l.ERK OF CIRCUIT COURT BY DEPUTY CLERK 11111111111111111111111111111111\11111111111111111111111\111 2004222770 Rcpt:835054 Rec: 10.00 os: 0.00 IT: 0.00 12/01/04 ___ Dpty Clerk JEO PITTMAN, PASCO COUNTY CLERK 12/01/04 01: 28~ 1 if 1- OR BK 613l!J PG 3 { NOTICE OF COMMENCEMENT State 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 COMMENCEMENT. 1. Legal Description of property (street address required): J 1 '-I 'f () IV E u /tOvVl !JV{.. . J~'- 2$ - 2-1 _ 010 /0 - OZ rco- 60? 2, General description of Improvements: H L,C/tvI/ ;Vl/II/l PAc/CA ~e 3a. Owner Name: k ~ Iv IV t rl-l e, I:: ,N c; l-A IV l? Owner Address: 374'-1:0 NEv~h/1. ;:LVI";: Z-E:)'l!-l'r'lz{-//a,f /::"L, , . , - J':?5"LfO 3b. Owner's interest In site: 3c. Fee Simple Title holder (of other than owner) Address: Contractor Name: r? "i 1--/ C C IV 5772-<./ G. J I 6)J IJ;:" C ;3/vT/2t4L j.::. L Address: If'i)?"t.;;' /klDlllll 5 BI2I/J&./[ P/J, ?EPI1V!ZI-!1 CL5 }:{. .OSCfJPhone: ~/5-'7r:FZ-/06 l( . . 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 7.13.13(1)(a)7, Florida Statutes. Name: Address: Phone Number: 8. In addition to himself, Owner designates the tQllowlng person to receive 8 copy of the Llenor's Notice as provided In Section 7.13.13(1Hbl, Florida Statutes. Name: Address: Phone Number: 9. Expiration date of Notice of Commencement (expiration date Is one'(1) y~ar from date of recording unless a differenl date Is ""m,d.I. . ~. STATE OF FLORIDA i' I / Th 19.regoing inslrument was ackn~wledge before me this ~ date of j) P: c..tA.1. /J r: 12-. , 20Q!{. by v.v - E, - G (Af\/~ , . . who (Is) (are) personally known to me or . pGOduced p/::-Il> 1) /tJ~vul( fC.,\,tovJ IV IS IdentlflcaUon, who did/did not take an oath. (Driver's License #) ~ 4, a&f Signature. Notary Public ~ ~ Bruce A Asbel . !~. .; My Commission 00116710 '~.f Expires June 22, 2006 (A copy of any bond must be attached at the lime of recordation of this Notice of Commencement)