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<br />I This space for use by Clerll of the Circuit Court only, <br />I . <br />\ <br /> <br />I <br />I <br /> <br />\ 1111111111111I1111111111111111111111111111111111111 1111111I <br />2005019693 <br /> <br />'. <br /> <br />... <br />.', <br /> <br />Rcpl:851716 Rec: 10.00 <br />OS: 0. 00 IT: 0. 00 <br />02/01/05 _________ Dpty Clerk <br /> <br />I <br />I <br />\ <br />L <br /> <br />JEO PITTMAN, PASCO COUNTY CLERK <br />02/01/05 03: 16pm 1 of 1 <br />OR BK 6212 PG 1505 <br /> <br /> <br />Slale of Florida <br /> <br />The undersigned hereby gives noUo, \hallmprov,menta will b. made to oerteln r.al property, end In accordance wilh <br />Section 713.13 of lhe Florida Stet~t", the following ';"ormeUon I' provided In the NOTICE OF COMMENCEMENT. <br /> <br />\. L.g.1 om'lpUon of property (,~"lOooro" roqvlroo): 3'1 'I' G I U- A Vi t- OJ ,,p t;" <br />-'2- - D .-0' D- _5- <br /> <br />General description of Improvements: J.'ClU~-:1/'J /CbOfiA I CAIZlhll T.i' 5 1 +[~i <br />, <br /> <br />" <br /> <br />))/11 V ["wiN <br /> <br />2. <br /> <br />3a Owner Name: Cl-fJ/Vt/ ~'((,.I fi! jJ (IA ~ p . <br />Owner Addross: '1" Ii <; &/. B<l - on;. vi, 2/'../ If'{' i?111 U > jC.1. 7 -" ,If I - 'J.' 0 <br /> <br />3b. Owner's In\ereslln slle: <br /> <br />3c. Fee Simple Tille holder (of other then owner) <br />Address: <br /> <br />R Co"""lo' N.me: J? d! (-J,)/~ oR U {.. 'T/ ~jJ a: {6;\/ f~ V L <br />AddroSS:1' l __ ,"~/II ~ /Jv I ilf: .?u /; YlzlJi U f ri. FS<./;J' Phone: ,f'O-7 Pc - 10' '-( <br /> <br />5. Surely Name: Amount of bond: <br />Address: Phon.: <br /> <br />7. Person wilhln lhe Slale of Florida dulgnaled. by own.r upon whom notlo" or other documenls may be served as provided by <br />SecUon 7.13.13(1)(8)7, Florida Slalul". <br /> <br />Contlo\: <br /> <br />6. Lender Name: <br />Address: <br /> <br />Phone: <br /> <br />Name: <br /> <br />Addren: <br />Ph9"' Numblr: <br /> <br />8. In addlUon 10 hlmi'l', ownerd"lgnaln the fcllowlng perton to reo.lve . copy of th. I.I.nor'. Nollee 8S provided In Section <br />7 .13.13( 1)(b), Florida S\tM".' . . <br /> <br />N,ame: <br /> <br />Addre,,: <br />PhOn' .Number, <br /> <br />9. Exp\ra\ion dale of Notice of Commencemenl (explr8110n dale It one (1) y,ar fr~m dal. 01 recording unless e different dale Is <br />spec!fied). <br /> <br /> <br />\ . <br />'. <br /> <br />f2ft.) ~e.1Zf Slgnalure of own..r <br /> <br />STATE OF FLORIDA <br /> <br />,'.l / <br /> <br />3/ <br /> <br />dlte or,--rwvJA/Z y' ,20 Or;: by <br /> <br />who (Is) (are) personally known \0 me or <br />IIldenUnoaUon, who dld/dld not like en oath, <br />\ <br />.R~' Broce A Asbei <br />,~j ~CommiSSionDD116?1() <br />Of '" EXplres June 22. 2000 <br /> <br />The 10(i~ojng inslrvment 'l!l,Js,~eknowJedoe before m. Ii'll. <br />-R.r( AiZd. j. J(..f)-':!)I~/Uc . <br />r.,p'-Oduced pjilLS 0 /V/Llv'f (NOW'\/ <br />{Driver'. Llcen.. j) <br /> <br />(~AAA A, OJf~ <br /> <br />Sign.lure . Nolary Public <br /> <br />(A copy of any bond must be anlchod 8\ the \lme of record.Uon of \hI. Notlc. of Commencemenl) <br /> <br />'. <br />