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STATE OF FLORIQN COU NTY OF PASCO 111 111111111111111111111111111111 11111111111111M11111111 IS TO CERT1F AT THE FOREGOING IS A IIIIIIIIIIIIIIIIIIIIIIIII TRUE AND=CCARE.C' -COPY OF THE DOCUMENT 2009109723 ON FILE 'OR;OF PU$LIC RECORD IN THIS'OFFICE WITNESS HALALS AND - FFIGIAL SEAL THIS Rcpt, :1257211 Rec: 10.00 . DAY OF 2 ' e DS: 0.00 IT: 0.00 PA A S; O ' - El CLERK COMPTROLL R 08/06/09 - Dpty Clerk PA BY DEPUTY CLERK ' NOTICE OF COMMENCEMENT Permit No. PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER Property Identification No. 03- 2 (0 '2_-1 -0) 2_0 -0000 0-09€. 08 OR 6 BK 9 8 qi 1 PGo1o 5er 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 description:) � i ! ✓e ✓ 64 S t /14 Se oh a 1/6 Z 6, 'p 65 c f d _4'G L. 0 T F eve /IV 06 3 y/ a) Street Address: o `i f fv r h' ¢ ovt O r Zee 17. ( F 1 33S t# 2.General description of improvements: R. c r., �' ,�� R A • 0 h 4 /f ‘ 1( 3.Owner Information V a) Name and address: (1.66f yvtet 1r Li G' 01 BLSS ( 3 2A) HV h fi �e�1 -ph D r Z y b) Name and address of fee simple titlehdlder (if other than owner) h' 3 3J �,/�1 c) Interest in property 0 W .e r c 4.Contractor Information a) Name and address: SEO+t a \rig Lcl/hk h ite,t,i i ie 33 of o S +2- S 2 Po Sox ) I6' b) Telephone No.: 3s-J J irk- 7 (0 ti /� hn l�� 33,:r 7!0 3 �f� Fax No. (Opt.) k- g 703 S.Surety Information a) Name and address: 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): 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 Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Print Name t - 're • oin.. ins II I - nt was acknowle. ; ed befo a me this `�- r o _ �� u-�= .jam day of ' 20 by in fact for r _�� as '� . _ �� II ^ n� ope s authority, e.g, officer, trustee attorney O l (name of party on behalf of whom instrument was executed). Personally Known Produced Id t eentification ��_ Notary Signature _.CZ:12 . Type of Identification Produced Name (print) � ' . I e Verification pursuant to Section 92.525, Florida Statutes. Under penalties of a 'ur • the facts stated in it are true to the best of my knowledge and belief. p Y, I declare that I have read the foregoing and that FORMS /NOC,rvsd2007 Signature of Natural Person Signing Above E TTJ ORI ANN KEOUGH Pubilo - State 01 Florida ission Expire$ 1T, 2010 nd8sbn # DD 5865Q3 By National Notary Assn,