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NOTICE OF COMMENCEMENT 111111111111 11/11111111111I11111111I111111111I11111111111111 2008056561 Permit No. This Instrument Prepared By: Karla Christmann, NEC KeystOlle, Inc. Tax Folio No. 11-26-21-0010-19000-0170 Address: 3517 East 7th Avenue, Tampa, FL 33605 The UNDESIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1) Description of Property a) Legal DesciptiOll: CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 1718 & 19 BLOCK 190 OR 7727 PG 534 b) Job Address: 5012 5TH STREEET. ZEHPYRHILLS, FLORIDA 33542-4925 2) General Description of Improvements a) Ground Subsidence Stabilization Rcpt: 1174619 DS: 0.00 04/16/08 Rec: 10.00 IT: 0.00 Dpty Clerk 3) Owner Information a) Name & Address: ABHILASH T. MATHEW OR ALEY AMMA MATHEW b) Name & Address of fee simple titleholder (if other than owner): c) Interest in Property: Property Owner 4) Contractor Information a) Name & Address: Cart C. Kirchendorfer, NEC KeystOlle, Inc. b) Telephone No.: (813) 248-8779 5) Surety Information a) Name & Address: b) Amount of Bond: c) TelephOlle No.: 5012 5TH STREET, ZEPHYRHILLS, FL 33542 3517 E. 7th Ave., Tampa, FL 33605 Fax No. 813-241-8343 Fax No. 6) lender a) Name & Address: b) Telephone No.: Fax No. 7) Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name & Address: b) Telephone No.: Fax No. 8) In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name & Address: b) TelephOlle No:: Fax No. 9) Expiration date of Notice of Commencement (The elCpiration dale is one year from date of recording unless otherwise speCified.): WARNING TO OWNER: Any payments made by the owner AFTER the exipratiOll of the Notice of Commencement are cOllsidered improper payments under Chapter 713. Part I, Section 713.13, Florida Statutes. and can result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite BEFORE the first inspectiOll. If you intend to obtain financing, cOllsult your lender or an attorney before commencing work or recording your Notice of Commencement. 10) X It7n cuI~. Signature of Owner or Owner's Authorized OfficerlDirectorlPartner/Manager State of FIO~ County of as( 0 X f+t- EY/4--rY> m/) .'/. m f)71f~C.~ '" Print Name The foregoing instrument was acknowledged before me on this. I ,,~ day of ~, 20 ~, by j\ \ (~J\ ~M. 6\,:, . ~V\ as f) uJll-e( for A e k '-, j.A(l~p~' . (T~fficor'n.)~r 0~;sonallYKnOWn Notary Signature ~.L.t( . Dproduced Identification . ~J - " 1/ ~ '/" JED PITTMAN, PASCO COUNTY CLERK Print Name cJ .hvl'A' c. f-. ~I(\ 0./00 , 04/16/08 01 :44~ 1 if 1- U AND OR BK 781.;t; PG 8~2 Verification pursuant to SectiOll 92.525, Florida Statutes. Under penalties of pe~ury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. , ~ Notary Public State of Florida . 11 ~ _ r-- .1 !~~ Dominick Paul Sinopoli X lL~DlAQ--<..~ 'i"'" J' My Commission DD4&74118 Signature of Natural Person Signing Above in Line #10 on\: Expires 11101/2009