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i i��ii� ii��� ����i ����� i���� �►��� ����� ����� ����� ����� ���� �iii <br /> , 2011116019 <br /> Rcpt:1380137 Re�: 10.00 <br /> D5: 0.00 IT: 0.00 <br /> NOTICE OF COMMENCEMENT 07/27/11 K. Garcia Dpty Clerk <br /> MRI#4360 <br /> Permit No. <br /> Tax Folio No. 14-26-21-0010-01300-0010; <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and :n accordance with <br /> Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. <br /> 1.Description of property (legal description): MOORES FIRST ADDtTION PB 1 PG 57 PORTION OF BLOCICS 12 13 & 14 8� a <br /> VACATED ALLEY & VACATED A AVE 8� 4 STREET DESC AS; 38250 A AVE, ZEPHYRHIL_t_�, FL 33542-5759 0 � � <br /> 2.General description of improvements: ROOFING �� D <br /> 3.Owner Information W � `� <br /> a)Name and address: SOUTH CENTRAL NURSING HOMES OF ZEPHYRHILLS INC. � t ` + .. Z <br /> 602 COURTLAND ST, STE 200, ORLANDO, FL 32804-1340 m <br /> b)Name and address of fee simple title holder (if other than owner): N/A �N � <br /> c)Interest in property: OWNER �� T <br /> 4 Contractor Information � ° <br /> a)Name and address: MILBAR ROOFING INC. 15911 U_S. HWY 301 DADE CITY FL 33523 � (� D <br /> b)TelephoneNo.: 352/567-6047 Fax No.(Opt.) � <br /> 5.Surety Information � " � <br /> a) Name and address: � o A <br /> b) Amount of Bond: ~' � <br /> c) Telephone No.: Fax No. (Opt.) �'-' °° <br /> 6.Lender � 3 <br /> a) Name and address: � <br /> Phone No. o <br /> 7. Identity of person within the State of Florida designated by owner upon whom notices or other documPnts may be served: m <br /> a) Name and address: A <br /> b) Telephone No.: Fax No. (Opt.) _ <br /> 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in <br /> Section 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 <br /> different date is specified): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF TY,� NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, S�CTION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE i FIE FIRST <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLO D � � <br /> , �� <br /> COUNTY OF 'I O. <br /> Sign ture of er or 's Au o' ed ice i todPartner/Manager <br /> C'r"� �' � � � t 5 i�ii'fr> 1�' <br /> rin Name and Titl <br /> T foregoing instru ent was acknowl g before thys �_ day of � � , 20 /�, by <br /> t _ ass�� . �� (type a thffriry f. o ic y in fact) <br /> for (name of party on behalf of . � � � - <br /> Personally Known_ OR Produced Identification Notary Signat � <br /> Type of Identification Produced Name(prin = an 2fi, 2015 <br /> ��.,y . Commission A� EE 59070 <br /> —�� --- '•'.,?;o� �� �.�,, 8 rntpuqh National Notary Assn. <br /> Verification pursuant to Section 92.525, Fforida Statutes. Unc{ r pena e e t e foregoing <br /> and that the facts stated in it are true to the best of my knowled e a elie . � f <br /> t./ <br /> Signa f tural Person Signing (in li�e # 1 ) Above <br /> FORMSINOC,rvsd2007 <br />