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NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF I v�� TI� 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. Descri tion of Property: Parcel No. • a . ly� . V -�� l.C,z�..��c:�d — � 1 �'�le�c�x;`;aocc �1�'`�eS Pr3. i� �� i C(.� l�i- � t� �(� 7 2. General Description of Improvement: �p .�� 3. Owner Information: Name: ¢,��j� �.�- r�.� r� \ ��'' � e C � Address: , City � Sta.te �[ Zip code ' Interest in Property: �� .� � � i y Name of Fee Simple Tittleholder: If other than owner: Address: City State Zip Code Contractor: R man _ � �c ��, S� � . ', �, . (�(�C� Address: 36413 S.R. 54 Ze hills FL 33541 5. Surety: Name N/A Phc IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII — Address 2011127178 City State ��- — ,... . Amount of Bond: $ Rcpt :1383532 Rec : 10 . 00 - DS: 0.00 IT: 0.00 08/16/11 A. Giard, Dpty Clerk 6. Lender: Name N/A Phone # Address PRULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLEfi City State �80R6BK1 10:12am P of 1 - 8586 3816 - 7. Persons within the Sta.te 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: IV/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 PA�MENTS 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 CONIMENCEMENT 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 COMME�CEMENT. _., „ ,- . Signature of Owner� � �� ; � ��. �•' �� .S� �' ,<� � y� Printed Name X �� '� � � � � /C G (.. , STATE OF FLOI�A ,� � COUNTY OF �'�� ; -;, The foregoing instrument was .acknowledged before me this �_ day of U� � , 20 �`, personall known to me or who produced ide tification, and who did/did not take oath (please circle which) "�*'�«�' �" ~ �-�a�-�- '�'�'� 2� �� pW� Notary PuGi�- St�r of Florida , Christlan �a4�-�a,; `�- - - _.,._._.__ =y � � My Comm :,ar UQ757610 Notary Pt� ; - � � -� T � � �-- My Commission Expires: �. ^°'� E"°"es ° � -� "�°' 2 �--- Under penalties of perjury, I declare that I have read the foregoing Notice of Commencement and that the facts stated in it are true to ttae be�t of my knowledge � belief. � '� � s� �J (Signature of Owner Sign ng Above)