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• 1 11111111111111111111111111111111111111111111111111111111111 Key No. Permit No. 2010164929 pt:1ec: 10 NOTICE OF COMMENCEMENT ' DS: 0.00 IT: 0.00' 11/16/10 L. Korb, Dpty Clerk THE UNDERSIGNED hereby gives notice that improvement will be Made to certain, and in accordance with Chapter 713, Florida State PAULA S. CLERK & COMPTROLLER Statues, the following information is provided in this Notice of 11/16/10 10:03am 1 of 1 Commencement: OR BK �� PG 650 1. Description of Property: Parcel No.: G9,9 3-1- p n hA 9 Pal - 2_ e, i /ls Fe (Legal description of the property and street address if av4lable) j 2. General Description of Improvement: f1 2 - 3. Owner Information: Name: , , b • L II Address: • I , 4 i _DIMIPAIIIN City 2 _$ k Interest in Property: f .j =5 Name and Address of Fee Simple Titleholder (If other than owner) : 4. Contractor: Name: FQS f P r. kph Address: p , City r.. Phone No. , � State I 5. Surety: Name N � q Fax Fax No ‘ . 2 ),5- a 5 jL/ /(y3 34 Address: J Amount of Bond: $ Phone No. City State 6. Lender: Name: ' P Fax No. n.) Address: City Phone No. State Fax No. 7. Persons 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: City Phone No. State 8. In addition to hirp4elf or herself, Owner designates Fax No. of To receive a copy of the Leinor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year 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, SEC 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Owner's Authorized Officer /Director /Partner /Manager "' Signature Required by same below by 'X" mark '•' Signatory's Title /Office State of _ I (L 1 / f nand() County of The forgoing instrument was acknowledged before me this f l day of NOV , 20 IO by +f�1M(2)0 CC �iP d 1 t> � I as r nt name of f person acknowledging) for (Ty•e of authority e.g., office, trustee, attorney in fact) (Name of party on behalf of who instrument was executed) 1110_ 1/11111..: `` L . i A Notary Signature of Nory Print \ 1 _ Personally known OR Produced Identification ✓ Type or Stamp Name of Notary Type of Identification Produced: tY Verification pursuant to Section 92:525, Florida Statutes: under Penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. x • �/ _/ ' : 4�Y rig HEADER 0. HOSFELD Signature of Natural Person Signing Above +; !!!, :+r YCOMMION 22 �'� ; r ' Ht M �dedT t vu Nde y ISS Public U11denniNft #DD962 3 0C08.doc Rev -2008