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<br />I <br />I This space for use by Clerk of the Circuit Court only, <br /> <br />I ' <br /> <br /> <br />I <br /> <br />I <br />I <br /> <br />" ~~[~~~ll~!~1111111I11I111II1111I1I1II111II11II11I1 <br /> <br />." <br />,'. <br /> <br />Rcpl : 842096 . <br />o 0 00 Rec: 10.00 <br />lS2:/28'/ IT: 0. 00 <br />04 Dpty Clerk <br /> <br />" <br />.11 <br /> <br />i~92:~~IM~N2~4P8ASCO COUNTY CLERK <br />. pm 1 of 1 <br />OR BK 6168 PG 1853 <br /> <br /> <br />" <br /> <br />Slale 01 Florida <br /> <br />The undersigned hereby gives notice that Improvements will b. made to certain real property, and in accordance wilh <br />Section 713,13 or the Florida Statytes, the following Information I' provided In the NOTiCe OF COMMENCEMENT, <br /> <br />,. Legal D8$crlpUon of propeny (.tr..t add".. "qulred): 'J'7 {r' IV. ~ kDJ'Vl fJ V[ T / 9 <br />, 3' :-2. -_ . '- Q - "00-01 v <br />~ <br /> <br /> <br />" <br /> <br />2. <br /> <br />General descrlp\lon oflmprovemenl,: 4~vilVl { AlVM PA-~ I:.. A Gi: <br /> <br />,a. Owner Name: 11.:~ l-klfli:f';J !'" ;rf' <br />Owner Address: __-'1__ GtFt:J'i St--D /'/::.- f J - 7,1;/ ft YJl/-f 110 t(" FL. 5 ? "> 4-1 - 7~ 6 00 <br /> <br />. ."' <br /> <br />:lb. Owner's Inlerest In site: <br /> <br />:lc. Fee Simple Title holder (of other than owner) <br />Addrus: <br /> <br />DconltIClOr Name: q'/l {. IV.5 ,(lAIC 11 01'/ 6P ~{A<- PL , <br />l-';:ddress:~/)bS- M/U P,(2l06;~ f?I}. ?t7Jlhlt:''f{(.{,~/:(. ~15(f7Phone: ~(3 -'(r"2-/tJtt( <br /> <br />7, Person wHhln the State of Florida designated. by owner upon whom nollo.. or other documents may be served as provided by <br />SecUon 7,13,13(1 )(8)7, Florida S\atut... <br /> <br />Name: <br /> <br />Addr...: <br />Ph9n. Number: <br /> <br />8. In addlUon 10 himself, Ownerd..lgn8t.. the foJlowlng per.on to reo.lv. I oopy of the Lienor'. Notice as provided In Section <br />7.13.13(1)(0), Floildl StaM..,, ' <br /> <br />Name: <br /> <br />Addr".: <br />Phon. ,Number. <br /> <br />9, Expiralion date of Notice of Comm.ncement (expiration dete I. one (1) y," fro,m date of recording unleu 8 dlHeren\ dale Is <br />spec!lied). <br /> <br />STATE OF FLORIDA <br /> <br /> <br />IZEIJfJc;ero ~lgn'lure Of~=_~..___,__._ <br /> <br /> <br /> <br />dat.of' /)f{tlvt/$[!l- . ,204bY <br /> <br />, who (Is) (are) personally known \0 me or <br />uldenUnolUon, who did/did not lak. .n oath. <br />\ <br /> <br />,. ,l .I <br /> <br />The foregoing inslrument WII 'Ckn~Wledge befoft me thl. :2-tf- <br />{L( c /-JAIl/} L, f rl-! 8,aZe, , <br />~..p(,Qduced J/riz. ~ 0 J'-I,4U(.... <( f(.,V\-o ~ r <br />(Driver'. Lie.".. 1#) <br /> <br />r~ A, fbLJ! <br /> <br />SiQnalurt . Nolary Public <br /> <br />~4""~ Bruce A Asbel <br />. ~ ; My Commission 00116710 <br />~ Qf ",'" Expires June 22, 2000 <br /> <br />(A copy of any bond mu,\ be aUached ,I the lime of recordaUon of thl. Notlc. of Commencemenl) <br /> <br />'. <br />