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111111111111111111111111111111111111111111111111111111111111 2011006571 Rcpt:1345541 Roc: 10.00 DS: 0.00 IT: 0.00 01/13/11 C. Cook, Dpty Clerk NOTICE OF COMMENCEMENT Permit N0. PAULA S.0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER 01/13/11 rpm 1 of 1 Property Identification No. OR B K PG 1875 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 :) Wedgewood Manor Phase I & II PB 27 PG 11 -14 Lot 55 OR 5040 a) Street Address: 5905 Greenbriar Ct., Zephyrhills, FL 33542 2.General description of improvements Tear off existing roof and replace with new 3.Owner Information a) Name and address: Benjamin & Norma Nellis 5905 Greenbriar Ct., Zephyrhills, FL 33542 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property Fee Simple Title Holder R 4.ContractorInformation W. A. Neumann Construction, Inc. a) Name and address: Neumann Roofing, Inc 30427 Commerce Dr., San Antonio, FL 33576 b) Telephone No.: 813- 782 -9080 FaxNo.(Opt.) 352- 668 -4803 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: ANY PAYMENTS 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. 2 7- - ( NTY OF PASCO gnature of Owner or Owner's Authoriz Officer/Director/Partner/Manager b0 of. -/14 AL lVe.l —C. /S Print Name The foregoing instrument was acknowledged before me this day of , 20 1 / , by as (ty • e of authority, e.g. officer, trustee, attorney in fact) for (name of party on behalf of y' . ns s executed). Personally Known OR Produced Identification 16- Notary Signature / p Type of Identification ProducedP — if Type ` Name (print) • —. 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. i�&A ., i .. , eofNatural ` . .ae ar; 1 • , . •' , " 's -' 6 FORMS /NOC,r THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT , JOHN W ON FILE OR OF PUBLIC RECORD IN THIS OFFICE -7. NOTARYPUBUC AflTNES MY HAND' ND OFFICIAL SEAL THIS STATE OFFLORIDA / DAY OF / /jI_. �.J„ 2 a// .. ' ' ' PAU O'NEIL, ti LE & C. PTROLLER Expires 8/18/2014 1,411,741 / , I BY (41-IL DEPUTY Y CLERK