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1 !111111!11! 11!111! 1111111! 111111111111111111111111111111111 <br /> 20 47 Rec: 10. 0 <br /> Rcpt : 132 3 9 <br /> DS: 0.00 IT: 0.00 <br /> 09/15/10 S. Burns, DCpty RK ClCOerk PTROLLER <br /> PAULq S. 0' L,PhD . P O ASC & M <br /> 09/15/10 NEI 03 . PG of 1 <br /> OR BK :i 919 <br /> NOTICE OF COMMENCEMENT <br /> Permit No. <br /> Property Identification No. <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section <br /> 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> e pkti 's t-Ien A•E 5;%ve!' Dal( S Pk,a,Se_ 2 <br /> 1. Description of property (legal description : • t a • - 0 <br /> a) Street Address: , • 1 , 4 & +,OINIVMINFS - .` - ft <br /> 2. General description of improvements: . • _ . , - • <br /> 3. Owner Information C. ho.N (e S d l,Ia Y • <br /> m <br /> ne ' <br /> �lt>,►� <br /> a) Name and address: • i 1, * _ . ■ b) Name and address of fee simple titleholder (if other than owner <br /> c) Interest in property <br /> R Contractor Information B �� K � � <br /> a) Name and address: _ - i, _ <br /> b) Telephone No.: ti _ fI'laali 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 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 nf�(� <br /> COUNTY OF PASCO ,/,/ . I.J., / — fill , . e 1 i Ir • i <br /> Signature of Owner or Owner's Auth. ' , • 1 . Z r /�, <br /> Print Name <br /> t7btTH - 1312, 4/4 <br /> Yii <br /> e foregoing instrument was acknowledged before me this /0 — day of .5-e, „p a , 20/e , by <br /> as A/ (type of authority, e.g. officer, trustee, attorney <br /> in fact) for (name of party on behalf of , em instrument was executed). <br /> Personally Known /OR Produced Identification Notary Si..: „Jr / 24 <br /> O F <br /> Type of Identification Produced Name (print) - 1 - ;_fD i Tb& A . .B.4,0 K-S <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregoing and that <br /> the facts stated in it are true to the best of my knowledge and belief. <br /> FORMSMOC,m42007 Signature of Natural Person Signing Above <br /> STATE OF FLORIDA, COUNTY OF PASCO <br /> Eitlito I KOS O 10D703W1 THIS IS TO CERTIFY THAT THE FOREGOING IS A , ., : Elod011,11etr!►�! TRUE AND CORRECT COPY OF THE DOCUMEN <br /> ON FILE OR OF PUBLIC RECORD IN THIS OFFICE <br /> WIT N SS MY HAN a • 1 a OFFIC • L SEAL THIS <br /> t DAY •'■ !,111,' a ■ !L ) C) <br /> PAU : S. O'NEIL CLE "K & COMPTROLLER <br /> B L1. - .... _141. - • l. D PUTY CLERK <br />