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gas s pace for use by Clerk of the Circuit Court only. 1 1lhII I11I 111 4II p111 111111111111111111111111111111111 2010082719 Rcpt: 1 D S: 0. Rec: 18.50 06 /11/10 C IT 0 Cook, D pty Clerk NOTICE OF COMMENCEMENT PAULA S. CLERK & COMPTROLLER Permit Number: 06/11/10 09:08am 1 of 2 Tax Folio No. h3 +alrinay /Q- • /JapQ- D0D(I/ OR BK 8351 PG 1680 The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in the NOTICE OF COMMENCEMENT. 1. Legal Description of property (street address required): kgelg ^/ u 13L71D. 2..gppyy-*21424, ,.S FL 33seia purp6e Ste. AIIJum& U‘6/4L A r 2. General description of improvements: /N 1»'L[. 3 $E7S D DME - U/U T 1.e,7 2 5 AND a 440b dS TD GANO109 vac vRntaV di 4 9. SW • D 3a. Owner Name: Zephyrhills Food Mort LLC Owner Address: 6005 Gall Blvd Zephyrhills, Florida 33542 3b. Owner's interest in site: 3c. Fee Simple Title holder (of other than owner) Address: 4. Contractor Name: "PAGE" V< ' / / Address: . o ./!..r. _ " AY �/ •i3 % tSG._.- Phone: :41;32Z17 FI/ 5. Surety Name: vT2s +� 33Si1 ? Amount of bond: Address: Phone: 6. Lender Name: Contact: Address: Phone: 7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7, Florida Statutes. Name: Address: Phone Number: 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. Name: Address: Phone Number: 9. Expiration date of Notice of Commencement (expiration date is one (1) year from 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 1, 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 WITH Y I r' .. DER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEME 40 STEVEN H PRENTICE _ t,-;'-.1 i gnature of Owner or Owner's Authorized Officer/Director/Partner/ anager STAT . 1 A MY COMMISSION # D0603235 COLT . Y 1 LSBOffe' Oct 8.2010 (407) 398 Florida Notary Service.com The foregoing instrument was acknow edge • - ore me is _ / day of - 3 •-.1 , ..r.,-e..__ , 20 1 0 by t\'satSJ .5.e.)-3 , as to P4t-il \i, l'kG� for Z � ` t_ xsek � \ Personally Known OR Produced Identification _ C Type of identification Produced F(-)L S DOD - n\• bA- 1 - 3 b Z — — — , - \\ _ v im ^ Signature - Notary Public penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are taste to the best of my knowledge and belief. viy- — Signature of Natural Person Signing Above (A copy of any bond must be attached at the time of recordation of this Notice of Commencement) Updated February 2008