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6 11 1111 11111 1111 11111 1111 1111 1111 11111 11111 11 1111 11 <br /> 2010006473 <br /> • <br /> Rept:1282955 Rec: 10.00 <br /> DS: 0.00 IT:0.00 <br /> 01/15/10 Dpty Clerk <br /> • <br /> NOTICE OF COMMENCEMENT P PU S. O'NEIL PRS.CO" CLERK 1 PG & c'1COMPTROLLER 666 OR BK L 1 <br /> OR BK <br /> Permit No. <br /> Property Identification No. 03— acO — a ' Ot2O` OQ 000— 0 63® <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with <br /> Section 713.13 of the Florida Statutes, tip following information is provided in this NOTICE OF COMMENCEMENT. <br /> 1.Description of property � (legal sc i G n:)) n GO- Sth fir c � <br /> a) Street Address; �S� N in i—LA P6s Sal �ss (-& <br /> 2.General cription'of impr + v ements: ~� �!� S �� S1 42 — rooT <br /> 3.Owner Information <br /> a) Name and address: al. ( Q,� 6144.1 Nor-14-1 / _ kQ r (its <br /> b) Name and address of fee simple titleholder (if other than owner) �..-vl m Q j 17 <br /> c) Interest in property <br /> 4.Contractor Information <br /> II t a) Name and address: Ai {� a. r <br /> b) Telephone No.: � • - n 1 1 [S f ris <br /> S.Surety Information ' ,�� vy Fax No. (Opt.) S <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: <br /> Phone No. <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: <br /> a) Name and address: <br /> b) Telephone No.: <br /> Fax No. <br /> 8.In addition to himself, owner designates the following person to receive a copy of the (Opt.) <br /> Notice as provided in Section <br /> 713.13(1)(b), Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: <br /> Fax No. (Opt.) <br /> 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is <br /> specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I SECTION 713E OF <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA <br /> COUNTY OF PASc9 <br /> . <br /> Notary Public State of Florida / <br /> ^ Christian Ryman ignature of Owner or Owner's Authorized Officer/Director /Partner/Manager <br /> �, qr i f MY CommissionDD751610 <br /> r Expires 01/24/2012 not � ,FE /1/ E <br /> Print Name <br /> Tl e foregoing iron{ tlm� ri was acknowledged before me this t 1 <br /> day ofsl� , 2010 by R <br /> • `'as <br /> _ <br /> in fact) for (name of party on behalf of whom of authority, e.g. officer, trustee, attorney <br /> ent was executed). <br /> Personally Known OR Produced Identification <br /> Notary Signature <br /> • <br /> Type of Identification Produced i <br /> Name (print) CA,N `‘. '! % dv- RNIN- <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the fore in and th <br /> the facts stated in it are true to the best of my knowledge and belief. g g at <br /> =oRMS /NOC,rvsd2007 Signature of Natural Person Signing Above <br />