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�% IIIIIIIIIIIIIIIIIIIillllllllllllllllllillllllllllllllllllill Notice of Comrriencement 20 11012000 Permit No. RCpt :1347517 DS: 0.00 Rec: 10.00 Property Identfication No. 11-28.21-001 p_� gypp-01 SO 01 /26/ i l L, r T ` 0 • 00 Sagastume, Dp},y Clerk THE UNDERSIGNEO hereby give informs you that the improvemeM will be made to c�rtain real property, and in section 713.13 of the Florida Statutes, the following information ia provided in this NOTICE OF COMMENCEMENT 1 Description of property (lega! descripfion: ) CITY OF ZEPHYRHILL3 PB 1 PG 54 LOT318 3 20 � THE NORTH 1/2 OF LOT 18 BLOCK a.) Street Address: 5226 9th St. Zephyrhills FL 33542 2. General description of improvements: ReplacemaM Window Installatlon. 01/ 11 E 0 i P2s � SCO CLERK & COMPTROLLER R BK �5�� 1 of 1 3. Ovmer Information PG � �� a.) Name and Address Amy Grossenbacher b228 8th St Zephyrhllis FL 33542 b.) Name and address of fee simple title holder (H other than owner) c.) Ir�terest in property oMmer 4. Contractor IMormation a.) Name and address Steven Irwin Rogilllo 5910-B Breckenrldge P Tampa FL. 33610 b.) Telephone No. (868) 84631gg Fax No. (opt) 5. Surety Information a.) Name and address: b.) Amourtt of Bond: c.) Telephone No. Fax No. (opt 6. Lender a.) Name and Address Phone No. 7 IdentRy 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): B.In addRion to himaelf, ovmer designates the foliowing person to receive a copy of the Lienor's Notice as provided in Section �13.13(1)(b), Florida Statutes: a.) Name and Address b.) Telephone No. Fax No. (opt,) 9. Expiretion date of Notice of Commencement ( the expiration date is one year from the date of recording unless a d'rfferent date is specfied): WARNINCi 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, SECTION713.73, FLORIDA STATUTES, AND CAN RESULT DSF YOUR PAYINC3 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 FINANCINC3, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINf3 WORK OR RECORDINC3 YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF Pasco X 1 / Signature W Owner r e uthorized ORlcer/DirectoNPartnsr / ManaAer � �Y G��bacher PnM Name The foregoing instrument was acknowledged before me this 10 day oi January 2011 by Amy Grossenbacher a$ (Type of authority, e.g. oMcer, trustee, attorney In fact) for ( name of party on behatt aF whom instrument uvas executed� NOTARY PUBLIC�TATE OF FLORIDA Personaliy Known Or Produced Identification X Notary Signature 1 �,� ,�" Lance Hullinger �C ommission #DD883738 Type of Identification Produced ��, ,J e �f�5 �UC� Name (print) Lance Hullinger •. � •'' �Pu'es: JULY 19, 2013 ��II A77.A1V1'IC AONUING CO., INC. ver�cation pureuar�t to Section 92.525, Florida Statues. Under penaltles of perjury, I declare the I have read the foregoing and that the facts steted in it are true to the best of my knowledge and belief. FORMS/NpC,rvsO2fp7 X ture of NaW Sipninp Aboae