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Li Ntba HAIW ovkni /-Oo L 5� ,..,) <br /> Permit No. FL . L'C' H1/23- 5zY- V7 -9v,/O <br /> Tax FolioNo.J� �(� � � 4 . : 1 0 , /Z- 4-Ze), <br /> . N __ <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain 713.13 of the Florida Statutes, the following information is provided in this NOTICE property, and in accordance with Section '6"-x----' OF M1VV[EhICEMENT. <br /> CO m — <br /> 1 .Description of property (legal des don): it <br /> s-1 0 C - 4t.1 2 to._ t C , . S _ m - <br /> a) Street (job) Address: , s . ; 0 -tt . y 1 C a t U 'o Pr to'? <br /> 2.General description of improvements: cJ1, iOOt Li. <br /> 3.Owner Information <br /> a) Name and address: n/ 9 L , • O <br /> t4Sit1`(R}1111 Fto`forL <br /> b) Name and address of fee simple titleholder (if other than owner) <br /> c) Interest in property 0 . . <br /> 4.Contractor Information (', • <br /> Ft a) Name and address: ! �Qp c b __ r,v oo„�,S S 3 2 <br /> b) Telephone No.: •e?4 a3� 0133 gyp`" Gi'2 C(,f� f 33 (,O <br /> .. 5.Surety Information Fax No. (Opt j <br /> a) Name and address: . <br /> b) Amount of Bond: <br /> c) Telephone No.: <br /> 6.Lender Fax No. (Opt) <br /> a) Name and address: v N <br /> Phone <br /> 7. Identity of person within the State of Florida designated by owner upon whom n or other - documents may be served: 1 a m LH <br /> a) Name and address: 1..i b) Telephone No.: ZS Fax addition to himself, owner designates the following Fax No. (Opt) c <br /> I c3 <br /> w <br /> 713.13 1 g person to receive a copy of the Lienor's Notice as provided in Section xi <br /> ( )(on to m a Statutes: <br /> a) Name and address: <br /> b) Telephone No.: n <br /> 9.Expiration date of Notice of Commencement (the expiration Fax No. (Opt) e <br /> is specified); date is one year from the date of recording unless a different date 0 m m <br /> ( gpiration <br /> WARNING TOO o m <br /> R'IV$R: ANYPA�'MENTS MADE BY TILE OWNER AFTER THE EXPIRATION OF THE NOTICE OF x <br /> COIVMV�NCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER m <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR Il JH 5 TO YO1UR PR PERT <br /> A NOTICE OF COivarErNCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU OPERTY. <br /> INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> Is MMENCE <br /> MENT. <br /> STATE OF FLORIDA a <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF CO <br /> COUNrY OFPIlVELLAS ♦w1Y °" DENNIS OLh� ,? �. X3ND • <br /> + ` D GODSEY 10. �� % <br /> y � MY COM I 1SSI(ON # 0/3466141 � 1 � [ 4tr.� � � Q 1 ,.... <br /> W A m <br /> o g_„ i <br /> of ., , or • .•'r's Authorized <br /> �OFRi EXPIRES. 1 S: /tug 25. 2009 <br /> (407) 398.0153 Florida Officer/Director/Partner/Manager tO m <br /> .., Wary Service.rom Z. ■ C a ) w r' <br /> Print Name �L� d A/ oin in � " - <br /> g 8 instrument was acknowledged before me this /5 day of U <br /> The fore � <br /> L 1N1)A �0 j.tJ 20 0 1 _ by <br /> as L31‘.2"€.17._ o <br /> (hype of authority, e.g. , fficer, trustee, - 0 ~ A <br /> m <br /> yin fact) for S � C <br /> (name of r rty on :. f of whom ' 0 9. <br /> attorney <br /> Personally �.� ent was executed). a <br /> Y Known OR Produced Identification d a <br /> // Notary ' Signature i <br /> r <br /> Type of Identification Produced !� ___— o <br /> Name (print) c, � tp 9 S m <br /> Verification pursuant to Section 92.525, Florida Statutes. , tinder <br /> the facts stated in it are true t the best of my know Penalties of Pe I declare that I have read the foregoing and that <br /> Y wIedge and belief <br /> FORMS/NOC.ivsd2007 AO - . <br /> s ,ham , • , T ati,ra1 Pelson Si ,,,,1 (in line # •.• Above <br />