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1 111111 11111 111111111111111 11111 1111111111111111111111111111 <br /> 2010015467 <br /> Rcpt:1286392 Rec: 10.00 <br /> DS: 0.00 IT: 0.00 <br /> 02/04/10 C. Cook, Dpty Clerk <br /> PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER <br /> 02/04/10 11:49am 1 of 1 <br /> OR BK 8263 PG 106 <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. j (" Al• --� 1 dCf /0 -7c 47 --,Z 30 <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, <br /> 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. dance with Section <br /> 1. Description of property (legal description :) v ; <br /> a) Street Address: - ; v � -� V �� <br /> 2. General description of improvements: <br /> 3. Owner Information A• LG O r= s - r — ' — 'I <br /> a) Name and address: R I �j rD La .=-711m $'d / 'Vj • � <br /> f� , aweitt dik <br /> b) Name and address of fee simple titleholder (if other than owner) !l ^'3 �Sf <br /> ,-,..€'''-i) c) Interest in property <br /> 4. Contractor Information <br /> a) Name and address: ` - . _ MO5. / <br /> ^7g g - s v _. c - Fax Fax No. (Opt.) J �(" <br /> b) Telephone No.: ' ) 3 <br /> 5. Surety Information <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 /> 7. Identity of person within the State of Florida designated by owner upon whom notices es or other documents may be served: <br /> a) Name and address: <br /> b) Telephone No.: <br /> Fax No. (Opt.) <br /> 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section <br /> 713.13(1) (b), Florida Statutes: <br /> a) Name and address: <br /> b) Telephone No.: <br /> 9. Expiration date of Notice of Commencement (the expiration date is one year a from the date of recording unless a different date is <br /> Specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, <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 OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA Q COUNTY OF PASCO <br /> Signature of Owner or wner's Authorized Officer <br /> /Director/Partner /Manager <br /> C. 4- C0IsreA./ <br /> Print Name <br /> The forego g itrument was acknowle. :,ed be ore me is day of r✓�.( , 20 (c) , by _ <br /> tu. 1 >j . C as <br /> in fact) for In ( type oauthority, e.g. officer, trustee, tto" <br /> (name of party on behalf 4* w,1 om instrument a• executed). 1 S , °1 <br /> Personally Known OR Produced Identification / / / a <br /> t I " <br /> Notary Signature H <br /> iiIg <br /> Type of Identification Produced i (� E <br /> -C� - Name (print) b ',,A, ti[ . $ . . $ E <br /> 8' <br /> Verification pursuant to Section 92.525 Statutes. Under penalties of perjury, I declare that I have read the foregoing . '. tits . __ <br /> the facts stated in it are rue to-the bet of my l ed e and belief. <br /> S FL CO OF PASCO "!! _�_ <br /> THIS, TO CERTIFY THAT TH s QREGOING IS A ' ~ �1a+ <br /> TRU AND CORRECT COPY OF THE DOCUMENX of Natural Person Signing Above r .. <br /> FORMS /Noc.rvsdzo07 Ot FILE OR OF PUBLIC RECORD94N THIS OFFICE <br /> �dSS MY HANDA D OFFICIi4L SEAL THIS <br /> 1 DAY OF I <br /> � > s.r 2 dJl� <br /> P AU4A S. O'NEIL,. " _ PTROLLER' <br /> BYlizial;"/ ' <br /> ! 1,- l); i ,'U L - <br /> DEPUTY CLERK <br />