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CITY OF ZEPHYRHILLS PB 1 PG 54 LOT 3 BLOCK 71 _._ --------- __..___ _.;_.__.- . --- - .-- -- NOTICE OF -• DWNSHIP 26 SOUTH, RANGE 21 EAST, Permit No. / 1�4Jt is 1 "TY, FLORIDA LOTS 1 & 2 & NORTH 20.00 FT OF Property Identification No. // ,2 6 , ,2/ - ,9J /j 07/0D - oof-0 OR 5568 PG 460 THE UNDERSIGNED hereby give informs you that the improvement 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 (legal descr'e, rem) t 1 ,( , ,�,. 1 I 1 r h� 1 � - • )-#) a)' Street Address;_.,` , Y )) t ,) F6 2.General description of improvements: ' . _ - t,1 �� r �� L.63 3.Owner Information �� a) Name and address: t D c Ca) cu._ -mot- "I 5 5) ),3' 5f, 7 /�i rt. 3? `72 ti b) Name and address of fee simple titleholder (if other than owner) c). Interest in property . R 4c0ntractor Information mp ) Le, R icjf. /_L J i4 C .. 33 s`02 /` // ST?' /P ," g= a Name and address: J b) Telephone No.: .i. -. c ' 4'e73 F No. (Opt.) - w= h � % Sa s.Surety Information a) Name and address: i- 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): me _ n .. W N a . WARNING TO OWNER: ANYPAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF a a N COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, tO a w FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. ca 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. e STATE OF FLORIDA , ( �. o m r+ - COUNTY OF PASCO Ltf �� J � 1 . � ` GI • • • Signature of Owner or Owner's Authorized Officer/D' tor/Partner/Manager 0 m I D (Tat 6AQ. L. f(1ar Print Name . ' -/ p( x • The fo Ding instrument was acknowledged before me this day of M&[..r 20 O?, --�-�-_ by c Jr Ckit� as (type of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf wh • m instrument xecut :- ). Personally Known OR Produced Identification Notary Sly.. _ file" ' 1 e• ELI Bt, 0 � Type of Identification Produced . 4 (P,h rint _ Name(p priATIN ,,.„! �W / liuui c -- raz Ex; December 12, 2010 Pf f, � ` Bon... n, Troy Fain Insurance 1300- 385-7019 • 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. Signature ofNatural Person Signing Al PRULR S . 0 ' NEIL , ' PRSCO CLERK a COMPTROLLER FORMSMOOmmd2007 - 03/20/09 64g 1 PG o L 4 OR B ��// 55