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III IIIIIIIIIIIUIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIIIIIIi 201 0030387 IIIIIII Rept:1291967 Rec: 10.00 0.00 IT: 0 ' 03 /04/10 C. Cook Dpty Clerk PAULA S O'NEIL, PASCO CLERK & COMPTROLLER 03 /04/10 li PG of 1 OR BK 8281 302 NOTICE OF COMMENCEMENT Permit No. Property Identification No. 3 Sr' D � • • a 1 „ O1 3 0 0 0 0 0 — p % tj o THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. l •Description of p a) Street property ) 2 e k r Co ‘44. ►,.t. n ,' 1 4 r e I P(3 2. General description of improvements: E c t t 13 t v c4 Z , P G 13 Z° r 1 N �h r h,1ts f 33��ii ( F /cur.•; l+e I I JYVt 1 1 U ✓' c 3. Owner Information a) Name and address: k \✓ k C in a ,, r , b) Name and address of fee simple titleholder (if other than owner) �` @ �a ✓ c u Tu�� c) Interest in property j c o et. fi / �� y 7 *44. Contractor Information a) Name and address: T L C tph S - nit/ ct o r 9 b) Telephone No.: 'S t I c 3 Z? ..r S rv1.-1 t a c t], I /{ - 5. Surety Information 3 ` L/ ` 3' e 1-4 " `/° 4 3 6 r Fax No. (Opt,) +rr� • , y. 2 a) Name and address: �' b) Amount of Bond: c) Telephone No.: 6. Lender Fax No. (Opt.) a) Name and address: 7. Identity of person within the State of Florida desi by Phone No. a) Name and address: owner upon whom notices or other documents may be served: b) Telephone No.: 8. In addition to himself, owner designates the followin Fax No. (Opt.) g 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. S. pa ton date of Notice of Commencement (the expiration date is one year theOdat) Exirai e of recording unless a 9 Ex different date is WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR EJ j NOTICE OF A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOU Y BEFORE LENDER OR AN ATTORNE BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. FIRST STATE OF FLORIDA 1 ___L COUNTY OF PASCO ) Signature of Owner or s Authorized Officer/Director/Partner/ 1 : _ C.-1 4 i2 c, Tom/ Print Name The, foregoing instrument was acknowledged before me this in fact for .1 �,I r as g _ t?; �- : 2 day of jV l r i r c 20� by c , 4-- r �/ • - (type of authority, e.g. officer, trustee, attorney (name of party on behalf of whom instrument was executed). Personally Known OR Produced Identification Notary Signature ,.-_ Ai Type of Identification Produced f7r r 1 r —7 Name (print) l / Verification pursuant to Section 92.525, Florida Statutes. Under the facts stated in it are true to the best of my knowledge and belief. penalties of perjury, I dam] that I have read the foregoing and that FORMSMOC,rvsdZpp7 -,z,„ r `''t ("s TAT • ' ' 4 1 - 16A, COUNTY OF PASCO ' h4y� Signature of Natural Person Si_ ?n !4_ I .. - ' C � • G IS A 1 , ;; � ERIC D. RIBS • TRUE AND CORRECT COPY OF THE DOCUMENT #01 MY COMMISSION #DD 928277 ON FILE OR OF PUBLIC RECORD IN THIS OFFICE XPIROcber 10 2013 , ' � 6o nd E edTnm ES : NaatyP to utNcur MerwrNers JVITNES� MY HAND A OFFICIAL BEAL THIS `l " :L 26/ LER PAULA' Q 'N JAYOF IL LERt.(..& COMPTROL ( ` . r . BY DEPUTY CLERK 1 N 1 a