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STAT { FL0RIbA;/'COU.NTY OF PASCO 111111111111 1111111111111111111111111 1111111111 11111 11111111 THIS' TO IF"( HAT FOREGOING IS A 2009182450 TRUE AND C.O REC1 COPY O THE DOCUMENT ON FILE, OR f3F U BLIC REC'''ORD IN THIS OFFICE Rcpt: 1279261 Rec: 10.00 WITNESS YHA ,�7?,,N OFFIGIrALSEALTHIS DS: 0.00 IT: 0.00 All'(F "i j 2 a� 12/22/09 Dpty Clerk PO_ 'N L, CLERK & COMPTROLLER PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER 12/22/09 0$_:14401 1 of 1 BY ' �'. DEPUTY CLERK OR BK P6 1991 NOTICE OF COMMENCEMENT Permit No. //� Property Identification No.' / 2Vi — 2 1 - 0010 -1 HQO'' 005 t THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of th;, Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description :)21 P 1 P V 5/ LOTS 5, E3L,k I iv oie 2 O3v P(, i 2 3 a) Street Address: SIc Of I7 H St- Z iyrh /s FJ 335 c: 2. General description of improvements: yQ e_ r r. i-4 t v/ `-. 3 0 AS plIcd 1 .S h 1 . �; (, 3. Owner Information `J a) Name and address: / M74 Be fie CA 9,nc e 5: C / 7 r 'Jt' 2 trh�. rh //s F/ 3335/a ' b) Name and address of fee simple titleholder (other than owner) c) Interest in property pt 4. Contractor Information a) Name and address: .' (Cff el etr ki'►nc4 t - , R.tc "EPIC 30l O --Ca S 2 Pat x ) i to .SON Ighh F J 3 3 C 7(O b) Telephone No.: 35 - air - 7 fc 63 Fax No. (Opt.) .3S'd - S is 8 9 763 5. Surety Information a) Name and address: b) Amount of Bond: . c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: . b) Telephone No.: Fax No. (Opt.) 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 and address: b) Telephone No.: _ Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is Specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA / COUNTY OF PASCO d'''. �� s _ `, _ --� Signature of Ow or Owner's Authorized Officer/Director /Partner /Manager CC e k-14-10 GI Print Name 5 g. g gCcilay -a �,� I, Y fore of instrument was acknowle ed befo .e me thi of 1��! L ��UC.�, 2 b L _NRUL as I . C (type of authority, e.g. officer, trustee, attorney in fact) for ' (name of party on behalf of whom instrument was executed). Personally Known V OR Produced Identification Notary Signature Ce `) (LA/v.\ Type of Identification Produced Name (print) U i , a„,, k i� k V Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, 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. / S of Natural Person Signing Above FORMS /NOC,rvsd2007 ,I. . :,, COHI ANSI! KEOUGH � Uo tary Pu!alr State of Florida k1} G:• nrrs cxc +pins Aug 17, 2010 r y . Cr'* !• ^it,sion = X 5 &6503 4 k; , ` .;' P ,,, N:aiaial Notary Assn.