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--- ��-��j ' � I lllill lllll lllli llill lllll lllll lllll llill llilf lllll llll illl � 2011093761 NOTICE OF COMMENCEMENT Rcpt :1373576 Rec : 10 . 00 MRI#4346 DS: 0.00 IT: 0.00 PermitNo. 06/17/li A. Gia�d, Dpty Clerk Tax Folio No. 12-26-21-0040-00400-0060 THE LJNDERSIGNED hereby gives notice that improvements 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):ZEPHYR HEIGHTS 1 ADDITION PB 8 PG 21 LOT 6 BLOCK 4 LESS THE NORTH 5 FT OR 5333 PG 352; 5416 TANGERINE DRIVE, ZEPHYRHILLS, FL 33542-4699 (LAKE BERNADETTE SUB) 2.General description of improvements: ROOFING 3.Owner Information a)Name and address: BROOME, BEVERLY C., 5416 TANGERINE DRIVE, ZEPHYRHILLS, FL 33542-4699 b)Name and address of fee simple title hoider (if other than owner): N/A c)Interest in property: OWNER tractor information a)Name and address: MILBAR ROOFING. INC. . 15911 U.S. HWY 301 DADE CITY FL 33523 b)TelephoneNo.: 352/567-6047 Fax No.(Opt.) PQ��p s o 'NEIL,Ph D PRSCO CLERK & COMPTROLLER S.Surety Information 06/17/11 1:25a�n 1 of 1 a) Name and address: _____.—___. _.. OR BK �5�3 PG �22 J 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 COMMEIVCEMENT 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 OTICE OF COMMENCEMENT. STATE OF FLORIDA CnIINTV (1F �, u�.1 l n. Signature o. er o 's uth rized Officer/Director/PartnedManager � � wUe� ��m� �. Print Name and Title The f regoing instrument was acknowledged before me this �_ day of �,,,,,,� , 20 It , by � a � (type of authority, e.g. ofticer, trustee, attorney in act) for S�C (name � on behalf of whom instrument was executed). Personally Known_ R Produced Identification Notary Signature Type of Identification Produced Name(print) -- AND — co�.ssiori a uoeo�aza Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perj � that ��E��oreg g and that the facts stated in it are we to the best of my knowledge and belief. � �� eowwuvr FORMSMOC,rvsd2007 Si •s i ing (in me i! l. bove