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<br />I Ii <br /> <br />This space for use by Clerk of the Circuit Court only. <br /> <br />1/"'" "'" "I" "I" '''I' ""I "~III '1'" "'" "'" "" "~'I <br />2005204213 <br /> <br />" <br />.', <br /> <br />Rcpl: 927846 <br />OS: 0. 00 <br />09/29/05 <br /> <br />Rec: 10.00 <br />IT: 0.00 <br />--'-----:_ Dpty Clerk <br /> <br />JEO PITTMAN~ PASCO COUNTY CLERK <br />09/29/05 0",: 26pm 1 of 1 <br />OR BK 6611 PG 1204 <br /> <br />.. fQ11C!; pF COMMeNcgM"~" <br />Slale of Florida i <br /> <br />The undersigned ~OrObY glvo. notlcolhollmprovements will be made to certain real property, and in accordance with <br />Section 713.13 of the Florida Statutes. th following Into:matlon Is provided In the NOTICE OF CO~NCEMENT, <br />1. Legal Description of property (8treet ad 81 reQUlred),:2.J--;C:0Y"- \ ~ ~ )\L~\ ~ *' ~ ~ <br />~\ -, b' -():)\ -' a~' ;(S <br /> <br /> <br />2. General description of Improvements: <br /> <br />3a. Owner Name: <br />Owner Address: <br /> <br />3b. Owner's interest In site: <br /> <br />I <br />I <br />Fee Simple Tille holder (of other than olYner) <br />Address: I <br /> <br />3c. <br /> <br />R <br /> <br /> <br />5. Surely 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 of Florida deslg Ited by owner upon whom notices or ottier documents may be served as provided by <br />Section 7.13.13(1 )(8)7. Florida Statutea <br /> <br />Name: <br /> <br />Address: <br />Phone Number: <br /> <br />8. In addition to hlm~elf. Owner designate the fQllowlng person to receive a copy of the Lienor's Notice as provided In Seclion <br />7.13.13(1)(b), Florida Statutes. <br /> <br />Address: <br />Phone ,Number: <br /> <br />9. Explralion dale of Notice of Commence~8nt (expiration date Ii on8 (1) y,ar (ro,m date of recording unless a different date Is <br />specified). <br /> <br />Name: <br /> <br />STATE OF FLORIDA <br />,;'._.1 .- <br />-." . <br /> <br />'f~0 L\lm~'l~ro otOw" <br /> <br /> <br />o e ~ t Is~.5=:\ date Of~ --=::;\.)~ ' 2~bY <br />who (Is) (are) personally known (0 me or <br />II IdentlflcaUon, who did/did not take an oath, <br /> <br /> <br /> <br />Signature. Notary Public <br /> <br />'iJ NO.tal)' Public Slate of Florida <br />. . Sabrina Rae Cant <br />\; Oli '''; My Commission D0463268 ' <br />I'll exPIreS 0811812009 <br /> <br />C._.. -,- <br /> <br />(A copy or any bond must be altached 81 the lime of recordallon of this Nolle. of Commence men I) <br />