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<br />NOTICE OF COMMENCEMENT <br /> <br />Permit No. <br /> <br />Property Identification No.o3- dlo- d l - 0 I 010- 0CX'i7:)-C:k50 <br /> <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. <br />5i\ve.r CD.KS ~hC\Se. OYle., PB 2<0 PC:j5 t..t\o-tt9 I Lot (05 leSS <br />l.Description of property (legal description:) +'na+ Oyt) (j\ \ ((1 nOr-th o-t' :e..Y)CE' \ \ vi Q ~1 <br />a) Street Address: <.0 Fo. r- (". Z 3S- L <br />2.General description of improvements: ~e:'(oo.f \^J \-t-n 0 <br /> <br /> <br /> <br />3. Owner Information <br />a) Name and address:W i\ \ \ m rQh hoener GlQ2.9 ru L 335L{-z. <br />b) Name and address offee simple titleholder (i other than owner) <br />c) Interest in property <br />4.Contractor Information , <br />a) Name andaddress~~ \3\uc~n~oot-\V'\9 \1\(., ~3?)()loS\Z 5~. 'Porox_\ Vi?g Surt)ntono3)511o <br />b) Telephone No.: _"J- -\' _- _ f# 3 Fax No. (Opt.) 3 5 2. - SJ'f? - 97'-' '3 <br />5.Surety Information <br />a) Name and address: <br />b) Amount of Bond: <br />c) Telephone No.: Fax No. (Opt.) <br />6.Lender <br />a) Name and address: <br /> <br /> <br />Phone No. <br />7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: <br />a) Name and address: <br />b) Telephone No.: Fax No. (Opt.) <br />8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br />713.13 ( I )(b), Florida Statutes: <br />a) Name and address: <br />b) Telephone No.: Fax No. (Opt.) <br />9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is <br />specified): <br /> <br />WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br />COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, <br />FLORIDA STATUTES, AND CAN RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br />A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br />INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br />COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> <br />/:;t{~ ~ <br />./ Signatu of Owner or Owner's Authorized Officer/DirectorlPartnerlManager <br />(0 I <br />Prit, Name \) <br /> <br />The foregoing instrument was acknow~e~ b.#Ort)ffi' tbj'f..t' day of (VJCt<-I .20L2(by ( Jail ~II <br />. as L:Q..U _. .~L_ V- ./ (type of authority, e.g, ofhcer, trustee, attorney <br />ffi fact) f<IT q Vl YI (namo of pmiy on b,balf o~~n"'""'''"t wa, ,",ocUred)i , <br /> <br />Personally Known OR Produced Identification _ Notary Signature G/O U ~ ~ <br /> <br /> <br />Name (print) 00 r (.' a Vl VI <br /> <br />STATE OF FLORIDA <br />COUNTY OF PASCO <br /> <br /> <br /> <br />t( e 9:Jh. <br /> <br />Type of Identification Produced <br /> <br />Verification pm:su~nt to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that <br />the facts stated m It are true to the best of my knowledge and belief. <br /> <br />~~~ <br /> <br />/Signature of Natural Person Signing Above <br /> <br />--. <br /> <br />FORMS/NOC,rvsd2007 <br /> <br />