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FOREST VILLAS UNRECORDED PLAT PARCEL 12 BEING A PORTION OF LOTS 18 & 19 BLOCK 2 FOREST HEIGHTS PB 8 PG 10 DESC AS COM AT .NE COR OF SECTION 10 TH N89DG 38' 40 "W 671.73 FT ALG NORTH LINE OF SECTION 10 TH SOODG 04' 30 "E 25.00 FT TO NE COR OF BLOCK 2 FOREST HEIGHTS TH N89DG 38' 40 "W 150.00 FT TO EAST RIGHT -OF -WAY LINE EAST HART DRIVE & NW COR OF LOT 22 BLOCK 2 FOREST HEIGHTS TH SOODG 04' 30 "E ALG EAST RIGHT - OF WAY LINE EAST HART DRIVE 418.48 FT FOR POB TH N46DG 45' 49 "E 86.71 FT TH SOODG 04' 30 "E 52.78 FT THS 46DG 45' 49 "W 86.71 FT TO EAST RIGHT -OF WAY LINE EAST HART DRIVE TH NOODG 04' 30 "W 52.78 FT TO POB OR 2072 PG 816 OR 4584 PG 1309 OR 5082 PG 826 NOTICE OF COMM.ICEMENT IIIIIIIII Rcpt:1280627 Ree: 10.00 Permit No. DS : 0.00 IT: 0.00 12/31/09 Dpty Clerk Property Identification No. THE UNDERSIGNED 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 Lt provided in this NOTICE OF COMMENCEMENT. 7� b .R/ 1. Description of property (legal description :) ( O - 04 --0 N 000 O /2_0 a) Street Address: 5911. Forrest Lane Zephyrhills. FL 33541 2. General description of improvements: R e r o n f MH S h i n g 1 PR 3. Owner Information ` a) Name and address: Mildred Hess 5911 Forest Lane Zephyrhills, Fl 33542 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property t 4. Contractor Information R a)Nameandaddress: A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, F1 33542 b) Telephone No.: 813- 787 -5585 FaxNo.(Opt.) 813 - 780 - 1805 5. Surety Information • a) Name and address: b) Amount of Bond: PAULA S. O' NE I L , PASCO CLERK & COMPTROLLER c) Telephone No.: Fax No. (Opt _ 12/31/09 OR BK Z Q; 0�5 1 of PG 1 0 22 6. Lender 4 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 / / r"4)2A'"-4� aa� Signatt OwteCor O er's horized Officer/Director /Partner /Manager / / / /ame ill Print Name The foregoing instrument was acknowledged before me this day of , 2017 , by as (type of authorit e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature Type of Identification Produced Name (print) tL �L'I' 46 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. /r NOTARY PUBLIC - STATE OF FLORIDA )i)&1.04 l► ""%t Richard C. Bartlett llli�� Signature of Natural Person Signing Above FORMS /NOC,rvsd2007 'v I Commission #DD878490 „ ,,,.••' Expires: JULY 31, 2013 IONDED TIntU ATLAAT1C BONDING CO. JNC