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STATE OF FLO�I��A, �CO�n.oF PASCO iIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
<br /> THIS IS TO CERTIFT;i FOREGOING IS A 2011101604
<br /> TRUE AND CORRE,CT�OPY OF TH��DOCUMENT
<br /> ON FILE OR Of PU$LIC�.RECORD IN THiS OFFICE
<br /> WITN�� HAND AND FFICIAL SEAL THIS Rept :1376027 Ree : 10 . 00
<br /> DA� 0� 2 � DS : 0. 00 I T: 0. 00
<br /> PA LAS ' EII.,CL & OAIIPTROLLER 07/01/11 K. Garcia, Dpty Clerk
<br /> W
<br /> gy ` � � EPUTY CLERK
<br /> �: .
<br /> � ' NOTICE OF COMMENCEMENT
<br /> Permit No. ��.� �j Gj � PRULR 5 0� NE IL , Ph D PASCO CLERK & COMPTROLLER
<br /> --. 07/01/11 01:15 m 1 of 1
<br /> OR BK �5�� P� 3�2Z
<br /> Property Identification No. /��.2G -d/ - doid �2/GOV —D//O
<br /> THE LTNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
<br /> Section 713.13 of the Florida. Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
<br /> 1.Descriprion of property (legat description:) (', j�, d � Z,.� �,.�,,,�; // p � Pts s� Ea t% ,co�s ii e �z � N� r �i( �/ a f tA ��ar �/ f/3
<br /> a) Street Address: s°a_� v zo � Sf Z o _ _ �. �/, F! - _ ; �sy2 �si� , ai.c k �i�
<br /> 2.Generaldescnptionofimprovements: y� ,,1.+<< �u �i��it +9 C��I. Sy c-J-_r�n a.,��Q rcw�KY
<br /> 9 ,, res�c�en K .J- II'�CIKAY
<br /> Ner.cJ S�rv��c Cr.�Yrr��e
<br /> 3.Owner Information
<br /> a) Name and address: ST�v rn � Ch r� s-F � no. uJQ ( e i e wsk � .�o2s ��'*'� S�f 2�vt�..��J�;1/ F1 33 ��3 rs�s'
<br /> b) Name and address of fee simple ritleholder (if other than owner}
<br /> c) Interest in property o w h .� �
<br /> 4.Contractor Information
<br /> a) Name and address: . (�A-F�_� e� I e� 1-r � c .� � � i � Q �}; r,p.(. 2�rh� 1�s F� 3s�''/o
<br /> b) Telephone No.: �'r�g_ 7g,� _ 3si 9 Fax No. (Opt.) - ��, y�g
<br /> S.Surety Inforn�arion
<br /> a) Name and address:
<br /> b) Amount of Bond:
<br /> c) Telephone No.: Fax No. (Opt.)
<br /> 6.Lender
<br /> a} Name and address:
<br /> Phone No.
<br /> 7. Identity of person within the State of Florida designated by owner upon whom norices or other documents may be served:
<br /> a) Name and address:
<br /> b) Telephone No.: Fax No. (Opt.)
<br /> S.In addition to himself, owner designates the follo�ving person to receive a copy of the Lienor's Norice as provided in Seerion
<br /> 713.13 (1)(b), Florida Statutes:
<br /> a) Name and address:
<br /> b) Telephone No.: Fax No. (Opt.)
<br /> 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is
<br /> specified) •
<br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
<br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
<br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
<br /> A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
<br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSiJLT YOUR LENDER OR AN ATTORNEY BEFORE
<br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
<br /> STATE OF FLORIDA l,� ',
<br /> CUUNTY OF PASCO , ����� /�„ � �
<br /> �v
<br /> Si ature of Owner or Owner s Authorized fficer/DirectodPa�er/Managa
<br /> , �Print Name C �
<br /> The fortgoing ins�ument was acla�owledged before me this il � da of
<br /> as y � 2 � bY
<br /> in fact) for (type of authonty. , e.g. officer, trustee, attorney ,
<br /> (name of party on b f whom instrume t was executed .
<br /> Personall � - "' •
<br /> Y O Prod ce i entificati n Notar�, s•
<br /> , ,���,µr rV�� � ERCElLE VIRGINIA F SIIIITH
<br /> + �� Not�ry Pubilc - St� ol fbNd� ,�,.
<br /> Type of Id �' �d�f�fim. Expi Oil� Name (print) .� ` r �
<br /> � + �' Corttmistion Af EE Q359S �����
<br /> '���/'"° �� ��'�� Bonded Thro
<br /> u� M�ion�l NoWy Assn.
<br /> Verification pursuant to Section . 5, ori tatutes. Under penalties of perjury, I declare that I have read the foregoing and t
<br /> the facts stated in it are tnte to the best of my lmowledge and belief. �
<br /> � '" �
<br /> FORMS/NOC ,rosd2oo� Signature of Natural Person i�ng Above �
<br />
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