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<br />This space for use by the Clerk of the Circuit Court only. <br /> <br />11"11' 11'11 UIII IIIII IIIII IIIII IIIII IIIII 111'1 IIIII IIII IIII <br />2005163381 <br /> <br />Rcpl:911611 <br />OS: 0.00 <br />08/10/05 <br /> <br />Rec: 10.00 <br />IT: 0.00 <br />Dpty Clerk <br /> <br />~~~1~~~~M~N9~lP5ASCO COUNTY CLERK <br />. am 1 of' 1 <br />OR BK 6523 PG 1096 <br /> <br />State of Florida <br />County of Hillsborough <br /> <br />NOTICE OF COMMENCEMENT <br /> <br />Permit Number: <br />Parcell.D. Number: l?":-~(,-; J{--c,'(CC -GC(\\' < J,,-;ic: <br /> <br />The undersigned hereby gives notice that Improvements will be made to a certain real property, and in accordance with <br />section 713.13 of the Florida Statutes, the following Information is provided in the NOTICE OF COMMENCEMENT. <br /> <br />Legal description of improvements: Loot.:9 7 / _;'-145 ( )l/.(/22-. \ S'L~ R b iv (S; u /\ <br /> <br />General description of imRrovemepts: SWIMMING POOL/SPA/SCREEN <br />Owner's Name: 1/\1\ \' c'\;"\ C"./L.\ : \) \ o'~ ,'V /\ s.:...v", \ tl/\. <br /> <br />Owner's Address 'PlOi ~ ::b\~<;- Jrt;.~ ~'\-Jz., ieM,,,,-Jh :rLSy,,-qL <br /> <br />Owner's interest in site: Primary Residence <br /> <br />R <br /> <br />Fee Simple Title Holder (of other than the owner): <br /> <br />Address: <br />Contractors Name: Harold R. Koster <br />Address: 13540 N. Florida Ave #101 Tampa, FL 33613 <br />Surety Name: Old Dominion Insurance Co. <br />Address: 1339 Arlinqton Street Orlando, FL 32805 <br />Lender Name: <br />Address: <br /> <br />Phone: 813-964-0000 <br />Amount of bond: $5000.00 <br />Phone: 800-940-1543 <br />Contact: <br />Phone: <br /> <br />Name: <br />Address: <br /> <br />Persons within the State of Florida designated by owner upon whom notices or other documents may be served as <br />provided by Section 713.13(1 )(aF, Florida Statutes. <br /> <br />(J lit <br /> <br />I <br />In addition to himself, Owner designates the following person to receive a copy of the Lienor's Notice as provided in <br />Section 713.13(1)(b), Florida Statutes~'. <br />Name: il I 11 <br />Address: III ( :..t Phone: <br /> <br />Phone: <br /> <br />Expiration date of Notice of Commencement (expiration date is one (I) y <br />is specified). <br /> <br />~ <br /> <br /> <br />STATE OF FLORIDA <br />COUNTY OF HILLSBOROUGH <br /> <br /> <br />acknowledged before me this <br />c \ ' <br />j b, r: ,.::::::;(.0""". q l <br /> <br />day of .~S-.; ~ ~/ <br />who is (are).pe'fs6naIlY <br />C_.. <br />as identifiCI~gn..~nQ.glQJ.~lQ..oot.t:J. <br />_"" CAMERON K. <br />f CammI.1oft _Ill) L I" II <br />E..-MUIR <br />.. '-., .~~]...~~~...... <br /> <br />~-jl: <br /> <br />I ~. <br /> <br />2005, <br />knoWn to me or <br /> <br />Drivers License # <br /> <br />Si9C~~) ~,--- -~ <br /> <br /> <br />(NOTE: a copy of any bond must be attached at the time of recordation of this Notice of Commencement.) <br /> <br />~ <br /> <br />./ <br />" <br /> <br />......,- j - <br /> <br />..... <br />