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STATE QIw. FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A • 1111111111111111111111111111111111 TRUE AND CORRECT COPY OF THE DOCUMENT 2010102145 ON FILE OR OF PUBLIC RECORD IN THIS OFFICE - WITNESS MY HAND A. OFFICIAL SEAL THIS Rept :1316087 Rec: 10.00 /6' DAY OF ` 2 0,0 DS: 0.00 IT: 0.00 PAULA S. O'NEIL, CL K & OMPTROLLER 07/16/10 S. Hatcher, Dpty Clerk ( P A B �� DEPUTY CLERK NOTICE OF COMMENCEMENT PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLEr 07/16/10 12303 1 cf7 PennitNo. . OR BK 837 7 PG 108 Property Identification No. \ \\ W "-\ \< 300 OO \\ 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. w i 1.Description of property (legal description:) _. Z. •.,_ ,% a) Street Address: +. . _, '_ .. .., 2.General descriVtion of improvements: .0 se\\X \N , c % G � '_ C&..c-4.. y1/42 �� 3 .Owner Information a) Name and address: Z c'►ik 1 • b) Name and address of fee simple titleholder (if' . eer than owner) ♦, `."M�" l.!. «. L 1 ` 70.. , c) Interest in property t� nv.t1c�_ � - 6... 3 4tCo Information • .tractor 'a) Name and address: - ��,■ � _ . .\ c. Ni�. L _ — _ 4,_ ' b) Telephone No.: _ - , Fax No. (Opt.) 5.Surety Information a) Name and address: , . b) Amount of Bond: c) Telephone No.: 1iax 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.: t-- 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 — • ` \`� .,�• a " n� �> i ° ' JACQUELINE BOGES Signature of Owner or Owner's Autho ' +cer/Director/Partner/Manager :. Commission DD 621833 �� k��0 ••� � :A Expires December a 12, 80 2010 t]v �' ps ��`�� Bonha Thru Troy Fain Insurance 800-386-7019 Print Name \ _ � /� The foreg instrument was acknowledged before me this / ‘-0 day of c u (y , 20 / 6 , by ...5 e...., 91r'i'�-uc'rt (. f, ea as 1 (type of authority, e.g. officer, trustee, attornej in fact) for (name of party on behalf of s om instrument was a ecuted). Personally Known OR Produced Identification Notary Signature 4L.d ," t _, fJ . ; hood— Type of Identification Produced Cif aiN. Name (print) /a c L.e � Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. ' ;% Signature of Natural Person Signing Above FORMSINOC,rvsd2007