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67 i a zEPI'•Y F /f is. I- r M org , 111111111111111111111111111111111111111111 c ( - \ cco g o iwg -7-'/, M R7 o R PJJT . 7ER E ®�' S R E co7L D mo tor e f 1-T (Zook f P 3 4 1 Rapt :1340832 Rsc : 10.00 AS Co �tl j �,b�; - � i� - DS: 0,00 IT: 0.00 h �,�) G F ( ?p j2 S O. t 12/15/10 A. Giard, Dpty Clerk LE 55 Th WEsr J_ciot3 E tRc ro ' PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER RO(- �b� 7.--, © �'W Ay 12/15/10 1:2 am 1 of 1 OR BK 486 PG 1202 • NOTICE OF COMMENCEMENT1 . • Permit No. /2 /� • • Property Identification No. - ,g, 4 a I 4 0 5'C O m 0 ©0 – ©© J 0 ' THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with • Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description:) , ,9 . / -- ,2 (- ) S ©- e O d 0 0 • a) Street Address: , •� _ • _ 1'r # — `, 2.General description of improvements: R G M (1Y r wner Information a) Name and address: A - . 2 i ,• — f3 _ o . A _ - . • b) Name and address of fee simple titleholder (if other than owner) 376 . c) Interest in property 4. Information . t� . • a) Name and address: C 11 ^ / 0 M F O V ( F?..... • b) Telephone No.: 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 No. (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: ANYPAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. . STATE OF FLORIDA ° / � s / / COUNTY OF PASCO !/ • tY!� " " . / • • O Signature . Owner o Owner's Authorized 0 i . /Dire�tor/Partner/Manager I �` Pri atN am e . I f Fn ED L ( R — r l i Fi The f4 rqgo " �.1'nns ¢¢;; tt.t� wa towledged before me this day ofC�/✓'� , 20(_j, by . ii ‘l t 1 T'Or k KA II .11• as • • (type of authority, e.g. officer, trustee, attorney • in fact) for • (name of party on behalf of whom instrument was executed). • t Personally. Known OR Produced Identification Notary Signature t�ii: L � • / ti• ACQUELINE BODES Commission # EE 040520 Type of Identification Produced L i C2rtSQ Name (print) i, e ' ut �,�� -, 12, 2014 • 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. • Signature of Natural Person Signing Above FORMS/NOC,rvsd2007 •