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NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF CPa J THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. 1 3- a6 -A I - ( ^O /4 - CXD OCX) ume L/A P- i of $[a Q F Nom' 'H O F SC-O \(L o NI G i[ 6 �.- F S (legal 5041 of the property and street ad ress 5p l. dd FT OF CA.) l (Z OF ' r CT , 3 at 5 G (ALA__ z 1P lys a 0 F y ` 0_W1O5 XckM of TO Z tpilV S 2. neral Descrip ' of Improvement: r) <2., —tC? -' n 3. Owner Information: e: ,vvw ,S L- • Sr. to f ( Y--c,1 Address: s y City? State Zip code 3 - Cj Interest in Prop rty: Name of Fee Simple Tittleholder: 111111111111111111111111111111111111111111111111111111111111 - If other than owner: Address: 2011013958 City State zip Code R. Contractor: Ryman 1 L F (3 S &- G 09 Li Address: 36413 S. R. 54, Zephvrhllls, FL 33541 5. Surety: Name N/A Phone Rcpt :1347890 Rec: 10.00 Address DS: 0.00 IT: 0.00 City State 01/28/11 C. Cook, Doty Clerk Amount of Bond: $ PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER 6. Lender: Name N /A Phone # 01/28/11 09:54am 1 of 1 _ Address OR BK 8507 PG V City State Zip Code 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 N/A Phone # Address City State Zip Code 8. In addition to himself, Owner designates: N/A of Phone # to receive a copy of the Lienor's Notice as provided in section 713.13(1) (b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner: , _ Printed Name ,41 rJ' Y N n A / STATE OF FLO : IDA COUNTY OF 'Q SCQ The foregoing instrument was acknowledged before me this 4 day of 74 . , 20 /0 ,6e knovvl o m: or who produced identification, and who did/did not take oath (please circle whic ► ' "oe�_ Notary Public State of Florida Chris Ryman Notary Public: !; 11 ' --- -- , ....." My Commission Expires: My Commission DD751610 Under penalties of perjury, I declare that I have read the foregoing Notice of Commencement and that the facts stated in it ar true to the best of my knowledge and belief. (Signature of Owner Signing Above)