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NOTICE OF COMMENCEMENT 1111111IIIIIIIIII1111111111111111111111111111111111 2009139844 Permit No. Rcpt:1266118 Rec: 10.00 _ Tax Folio No. Cf3 s l,l <A1 - U 04..? 0 - 0000 00,3 DS: 0.00 IT: 0.00 09/30/09 Doty Clerk 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 COMMENCEMENT. • 1.Description of p r o p e r t y ( d a l description): i J '" 1 e G 1 , . C re s b 1 B ob i 3 2 eat "..€ -As 3 - ct,ei ce;, /, a ) Street ( j o b ) A d d r e s s : GA./ -2 9 & a / 1 ki 2..ee h + r I � v� 3 2.General description of improvements: 5. J eta 4- 3.Owner Information a) Name and address: 1,t) 0 y ,ltid i e e a d Se.. / 0.o b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 6 ' n.e. - R C01 47dress: 5', -y, `1' ' ( 0 CA..72e 1,28.. ft- b) Telephone No.: `1 ? - 4 I 5 7 3 S.Surety Information Fax No. (Opt. 3 37 7 PAULA S. 0' NEIL, PASCO C 1 RK & f COMP R R a) Name and address: 09/30/09 0 gp b) Amount of Bond: OR BK 8 P6 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(10), Florida Statutes: a) Name and address: 1 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 01? 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 OUR LENDER O ' r ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE 01? CO 1 54 • STATE OF FLORIDA COUNTY OF 10- /�d��/�I� Signature ., , - orOwner's . ,.. ; Officer i .�:, _. Print Name The foregoing instrument was aclmowledged before me this I ITh day ofSep�elli bW , 20 09 ,by NA-en f, L as `-� ( (type of authority, e.g. officer, trustee, attorney in fact) for \}vO v 42_e (name of party on behalf of whom • + eat was executed). Personally Known OR Produced Identification Notary Signature ' n I I L�L.IJI Type of Identification Produced Name (print) L! AM l, Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I dec rfr ve read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. 0/i�i : •— roxnx0C,�azom OFFICIAL SEAL / �i� %i /�� INGRID M HOFFMANN Si _., going (m line # 10.) Above NOTARY PUOUC -STATE OF ILLINOIS MY COMMISSION EXPIRES:0910SC