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111111 0111 0111 0111 0111 0111 0111 0111 01110111 I I I 1 1111 <br /> Notice of Commencement 2010119233 <br /> Permit No. <br /> . Rcpt :1321697 Rec: 10.00 <br /> Property Identification No. 34 -25 -21 -0170 - 00000 -2660 DS: 0.00 IT: 0.00 <br /> 08/19/10 L. Sagastume, Doty Clerk <br /> THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in ; <br /> section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> 1. Description of property (legal description:) GRAND HORIZONS _ PHASE THREE LOT 266 <br /> a.) Street Address: 37630 Gill Avenue Zephyrhills, FL 33541 PAULA S . 0' NEI L , Ph . D . PRSCO CLERK & COMPTROLLER <br /> 08/19/10 04:37pm 1 of 1 <br /> OR BK 4 1 PG <br /> R 50 <br /> 2. General description of improvements: Replacement Window Installation. <br /> 3. Owner Information <br /> a.) Name and Address Joseph Clark 37630 13111 Avenue Zephyrhills FL 33541 <br /> b.) Name and address of fee simple title holder (if other than owner) <br /> c.) Interest in property Owner <br /> 4. Contractor Information <br /> R. a.) Name and address William Blaine Underwood 6810 - Breckenridge Parkway Tampa, FL 33610 <br /> b.) Telephone No.: (866) 9464189 Fax No. (opt) <br /> 5. Surety Information <br /> a.) Name and address: ' <br /> b.) Amount of Bond: <br /> c.) Telephone No. Fax No. (opt) <br /> 6. Lender <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: 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. 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 AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION713.13, <br /> FLORIDA STATUTES, AND CAN RESULT DSF 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 /> 'P1 , A -- —O M ERRILL <br /> , 0,►,' : as X <br /> ='; '_ MY COMMISSION # DD926676 s of . i....„ y or Owner's AuthorizeticerlDiredor/Parfier J Manager <br /> Joseph Clark <br /> '0 7 �� • ` EXPIRES September 20, 2013 <br /> , F` : ` <br /> (4 398 -0153 FloridallotarySerwce -corn Print Name L <br /> The foregoing instrument was acknowledged before me this 6 day of August 2010 by ) dif f / 011 /� <br /> as (Type of authority, e.g. officer, trustee, attorney in fact) <br /> for ( name of party on behalf of w �jom i trument was execut <br /> Personally Known Or Produced Identification X Notary Signature /L <br /> Type of Identification Produced L LfL� f ,47 k Name (print) LV0 17a r2 Q 1.-4.3 /2.2. 1/ <br /> verification pursuant to Section 92.525, Florida Statues. Under penalties of perjury, I declare the I have read the foregoing and that the <br /> facts stated in it are true to the best of my knowledge and belief. <br /> FORMSJNOC,rvsd2007 X C' � / � ' <br /> S i of NaW l Person Signin <br />