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1 111111 0111 1111111111 11111 11111 11111 11111 11111 11111 1111 1111 Key No. Permit No. 2010164928 NOTICE OF COMMENCEMENT ' Rcpt :1336190 Rec: 10.00 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 Statue, the following information is provided in this Notice of Comm : � � _ a1 _ 1. Description of Property: Parcel No.:�� (Legal description of the p operty and street address if avaiI bl) / 2. General Description of Improvement: n K. F Owner Information: Name:�Tp"j(L oTrj Address: LQ9 ity -zh `L� L� i 1 5 State 1 335'1 - Interest in Property: c1�jix' Name and Address of Fee Simple Titleholder (If other than owner). PAULA S.O 'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 11!16/10 10•03am 1 of 1 4. Contractor: Name: 7 b3 -h 'rS Q OR BK $467 PG 649 Address: PC) City ' rrn1_ - / State FI Phone No. ,Zcy) ) Fax No. FjUy - f()p 5. Surety: Name N Amount of Bond: $ Address: City State Phone No. Fax No. 6. Lender: Name: f3' P Address: City State Phone No. 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 State Phone No. Fax No. 8. In addition to hirpelf or herself, Owner designates 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. X. l Signature o ner or Owner's Authorized Officer /Director /Partner /Manager Signatory's Title /Office Signature Required by same below by 'X" mark State of County of f nQ nd(� The forgoing instrument was acknowledged before me this a day of t\. 2010 by 1r(Q )Q.. 1 , I o(p) as (Printed name of person acknowledging) (Typ- of authority o ice attorney in fact) for (Name of party on behalf of who instrument was executed) Signa ure of Notary Print � / " Personally known �1R Produced Identific 'on ✓ Type or Stamp Name of Notary Type of Identification Produced: � L Verification pursuant to Section 92:525, Florida Statutes: under Penalties of perjury, 1 declare that 1 have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FEAThERD.HDSFEID -- MY COMMISSION t DD 96,2223 Signature of Natural Person Signing Above EXPIRES: March2l, 2014 . Bonded Thru Notary Public U Oc08.doc Rev -2008