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<br />NOTICE OF COMMENCEMENT
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<br />Permit No.
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<br />Property Identification No.
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<br />0$,20-2/.012""- 60000 -(,)11>>
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<br />THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
<br />Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
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<br />l.Deseription of property (Ie a/description:), <\;/Ver OtlKS
<br />a) Street Address: 2 1 'I 'i I I V e ~ tl(i
<br />2.General description of improvements: R..epJ tJ..d,.. e.., r
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<br />3.0wner Information '}
<br />a) Name and address: (J)"""",1bv, (0).1 Y S,/ver ca/c.s
<br />b) Name and address offee simple titleholder (if other than owner)
<br />c) Interest in property 0 C.J II ~,.... ,
<br />4.Contraetor Information 'J 5 ~.,. ~ ,It.-eo-- ~ t"fIr
<br />a) Name and address: i ,M)D'f' .
<br />b) Telephone No.: 0 - ).
<br />5.Surety Information
<br />a) Name and address:
<br />b) Amount of Bond:
<br />c) Telephone No.: Fax No. (Opt.)
<br />6.Lender
<br />a) Name and address:
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<br />,eA'.~H, II I n..
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<br />Phone No.
<br />7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
<br />a) Name and address:
<br />b) Telephone No.: Fax No. (Opt.)
<br />8.1n addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
<br />713.13(1)(b), Florida Statutes:
<br />a) Name and address:
<br />b) Telephone No.: Fax No. (Opt.)
<br />9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
<br />specified):
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<br />WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
<br />COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
<br />FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
<br />A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
<br />INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN A TTORNEY B~FORE
<br />COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
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<br />. Signature of Owner or Owner's Authorized OfficcrlDircctorlPanncrlManagcr
<br />l;?t'hJl' hll1~A"I7i>../
<br />Pnnt Name
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<br />. . . , .. r.;, /VI '^ II ....tl. I) 'L . , . )>1
<br />The foregomg mstrument was acknowledged before me thIS ~ day of . vr ,,,j..{I\ , 20~, by I' ffU "i ",...
<br />In ~,v;4-ul't;,,-< as h ol#t!r:Ju.) J,)~ (type of authority, e.g. officer, trustee, attorney
<br />in fact) or L.iF;::to~ Cokr;""!j J...._ (name of party on behalf of whom instrument was executed).
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<br />Personally Known ~d Identifie~ Notary Signature ------c- c-
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<br />STATE OF FLORIDA
<br />COUNTY OF PASCO
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<br />Type ofldentification Produced n. nJJ/dil~ b~t/Name (print)
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<br />/lltl/i j IJlhttlt J
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<br />Verification pursuant to Section 92.525, Florida Statutes. Under penalties ofpetjury, I decl'lJ'e t\1ar;I'have read the foregoing and that
<br />the facts stated in it are true to the best of my knowledge and belief.. / .,.. .. // #-
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<br />.. Ignaturc of Natural Person Signing A ve
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<br />FORMS/NO , sd 0
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<br />Notary Public State of Flonda
<br />Travis Wade Adams
<br />My Commission 00707348
<br />Expires 08/21/2011
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<br />
<br />Notary Public State of Flonda
<br />Travis Wade Adams
<br />My Commission 007fl7348
<br />Expires 0812112011
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