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Z • Notice of Commencement I (VIII VIII VIII VIII Ilill VIII VIII VIII VIII VIII IIII IIII Permit No. 2010137200 Property Identification No. 14 -26 -21 -0010 -03400 -0010 Rcpt :1327588 Rec: 10.00 DS: 0.00 IT: 0.00 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in 09/24/10 L. Sagastume, Dpty Clerk section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal descripfion:) MOORES FIRST ADDITION PB 1 PG 57 LOTS 1 & 2 BLOCK 34 a.) Street Address: 4803 6TH St. Zepherhills, FL 33542 2. General description of improvements: Replacement Window Installation. PAULA S . 0' NEIL , Ph . D . p SCO CLERK & COMPTROLLER 09/24/10 1 of 0R BK 8426 PG 1534 3. Owner Information a.) Name and Address Richrad Shanks 4803 6TH St. Zepherhills FL 33542 b.) Name and address of fee simple title holder (if other than owner) c.) Interest in property Owner 4. Contractor Information a.) Name and address William Blaine Underwood 591043-Breckenridge Parkway Tampa, FL 33610 b.) Telephone No.: (866) 946 -3189 Fax No. (opt) 5. Surety Information a.) Name and address: b.) Amount of Bond: c.) Telephone No. Fax 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 l' o.(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. 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 1, SECTION713.13, FLORIDA STATUTES, AND CAN RESULT DSF 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 COMMEI STATE OF FLORIDA COUNTY OF , / , �/ Pasco X 1 L� i/C52/ 1 74 Signs e of Owner or Owner's Authorized Officer /Director/Partner / Manager ichrad Shanks.. Print Name `/ /� j� (/�,. The foregoing instrument was acknowledged before me this 8 day of September 202010 by \`�� - " / s as (Type of authority, e.g. officer, trustee, attorney In fact) for ( liorne of party on behalf of whom ' L. a5 - - ted / Personally Known ) Or Produced Identification 4 Notary Signature 0/ 4'1 i r Type of Identification Produced Name (print) aj r° 4( (co 1 9 verification pursuant to Section 92.525, Florida Statues. Under penalties of perjury, I declare the I have read the foregoing and that the RICHARD ALFRED BAUGHN facts stated in it are true to the best of my knowledge and belief. Notary Public, State of Florida My Comm. Expires Mar. 22, 2014 No. DD973388 FORMSMOC,rvsd2007 X `� /j Si a of Nafurai Person Signin° Above