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<br />State of <br /> <br />~E OF COMMENCEME~ <br />County of (0CL C{) <br /> <br />THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, <br />and in accordance with Chapter 713, Florida Statutes, the following information is provided in <br />this Notice of Commencement: <br /> <br />1. Description of Property: Parcel No. <br /> <br />c,o~ -2/ -- 0 (UJ <br />D O(JO() -0 0 10 <br /> <br />(Legal description of the property and street address if available) <br /> <br />2. General Descr' ion of Improvement <br /> <br /> <br />~~~ij~ll~~lWIIIIII 11111111111111111I11111111111111I <br /> <br />3. OwnerInfonnation: Name '/JON ~ <br /> <br />Address j 7 <{ 0 ~ - ~City <br />Rcpt.: 1068910 <br />Interest in Property: DS: 0.00 <br />01/29/07 <br /> <br />State ~ <br />'" ")~/' <br />Rec: 10.00 ) <br />IT: 0.00 --- <br />Dpty Clerk <br /> <br />Name of Fee Simple Titleholder: <br />(If other than owner) <br /> <br />Address <br /> <br />~'92~~~;MArt : rr:;O fOUNT:f C'iERK - <br />OR BK 7364 PG 915 <br />~tate <br /> <br />R Contractor: Name <br />Address JSLfOP-.j ..f- <br /> <br /> <br />State .~ <br /> <br />J j 0{-2- <br /> <br />5. Surety: Name <br />Address <br /> <br />City <br /> <br />State <br /> <br />Amount of Bond: $ <br /> <br />6. Lender: Name <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />7. Persons within the State of Florida designated by Owner upon whom notices or other <br />documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes: <br /> <br />Name <br /> <br />Address <br /> <br />City <br /> <br />State <br /> <br />8. In addition to himself, Owner designates <br /> <br />of to receive a copy of the Lienor's Notice as <br />provided in Section 713.13 (1) (b), Florida Statutes. <br /> <br />9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date <br />of recording unless a different date is s ecified.) <br /> <br /> <br />,20~ <br /> <br />~ <br /> <br />Signature of Owner: <br /> <br />Sworn to and subscrib <br /> <br />Notary Public: <br /> <br />My Commission Expires: <br />PC93053048/A <br />