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NOTICE OF COMMENC MENT • LCS Permit No. 12.-y/111,1i4 Tax Folio No. ;1- 34 - D-1 — 00/ 0 - 0 03o 111111111111111111111111B1111111111111141 2009050 027 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 is provided in this NOTICE OF / C ' O � MMENCEMENT. 1.Description of p r o p e r t y ( l e g a l d e s c r i p t i o n ) : 1 `g W ( Z 4141 c (i S 3 J �'K I a) Street (job) Address: ID 3 " (- , rL . _ 2.General description of improvements: + (7 F 1 3.Owner Information --��-- a) Name and address: RU /((. ,Jp ( +PICO N )0 3 I O S t . 2 /4tf f &l CL F _ b) Name and address of fee simple titleholder (if other than owner) l c) Interest in property (1) W fi 4.Contractor Information HOME IMPROVEMENT SERVICES 14377 US 19 NORTH CLEARWATER FL 33764 :P a) Name and address: � � � b) Telephone No.: 727- 530 -0412 FaxNo.(Opt.) 727 - 539 -6912 5.Surety Information a) Name and address: pep 0 0 7353 Ree : 10.00 IT: 0.00 b) Amount of Bond: 04/13/09 Dpty Clerk c) Telephone No.: Fax No. (Opt.) 6.Lender PAULA 5. 0•NEIL, PR5CO CLERK S COMPTROLLER a) Name and address: 04/13/09 16gg 1 PG 1042 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 RECORDJ) UR NOTICE OF COMMENCEMENT. ��pL1C,5TA1E O5li STATE OF FLORIDA li F" ` r L+• Vv . 652*Vg l /� /� COUNTY OF PINELLAS �': T U$St0C1 # D �4, 2011 pq, e " ` — a C,am Y ;# � � 6 •F tNQ� gnature of Owner or Own Authorized Officer/Director/Partner/Manager , 6 Print Name The foregoing instrument was acknowledged before me this to day of /0/2/1 L , 20 D9, by jei. A / 1.4 , J Li 111 r't as 0 CV (Y (type of authority, e.g. officer, trustee, attorney in fact) for (name of party o, I if of who instrument was executed). Personally Known OR Produced Identificatiol. -- Notary Signature , t Type of Identification Produced 4 , 9 �t c Name (print) `C ( Q-- . v" 2 ,,' /73 - 2o - o 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. . FORMSM(K'.rvsd2007 f ,J / / / /� �./1. .._,.� ignature of Natural Pe Signing (in line # 10.) Above