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Prepared By and Return to: T-Mobile USA, Inc. IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Attn: Jolene Ratliff 3407 W Dr Martin Luther King Jr Bivd. 2011167591 Tampu FI. 3360,° � 1/2�OFSSW 1 /4 4 TH G S88DG P 50MIN 15"W D796.6 19R10 FOR POB AKA S R/W LN HENRY DR TH CONT $ 200 FT TH S88DG 50 MIN 15"W 200 FT TH N 200 FT TO S R/W HENRY DR TH N88DG 50MIN 15"E ALG R/W TO POB OR 706 PG 559 & OR 806 PG 104 FOR OFFICIAL USE ONLY ' Permit No. Key No.. Carrier Site Number• P.2G0082A Rcpt:139599s Ree: 10.00 DS: 0.00 I7: 0.00 NOTICE OF COMMENCEMENT 10/27/11 D. Bonil la, Dply Cl��k � PRULR 6 0'NETL,Ph D Pq5C0 CLERK i COMPIROLLEh state of: Florida 10/2��st �t5�.� t° 344 OR BK Z� PG County of: Pasco THE UNDERSIGNED hearby gives notice that improvement will be made to certain real propeRy, and in accordance with Chapter 713, Florida State Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Address: 38122 Henrv Drive Zeohvrhills FL 33540 :(Legal description of the property and � street address if available) PID# U-02-26-21-0080-0OA00-0070 2. f3enaral Description of Improvemant: ; Pr000eed entenne modiflcation on existina telecomm�nication elte 3. Owner Information: Name: T-Mobile USA. Inc. Address: 3407 W. Dr. Martin Luther Kma Jr Blvd Tamoa Florida 33607 � Interestin Property Leasee Name of Fee Simple Titleholder (If other than own r 4.� Contractor U�T�'�'N�'��^�'� �plbert�u�cr� Addre City: State a OqdN" o L � Q MQIR� 5 Surety Name N/A Address: City: State 6. Lender: Name N/A Address: City State 7. Persons within the State of Florida designated by the Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name: Mike Ackroyd Address: 3407 W. D�. Martin Luther King Jr Bivd Tamoa FL 8. In addition to.Himself, Owner designates Carole Bradlev ofv.;_�:°_'.T-Mobile CLC to receive a copy of the Lienor's Wotice as provided in Section 713.13(1)(b�, Statutes, . . 9. Expiration date of Notice of Commencement (the expiration date is 1 ye�Y 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 COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART i, SECTIOId713.13, FLORIDA S7ATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PftOPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE F1RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOU LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEME � � 10. Signature of Owner: Print Name: The rego' g in ; ume was acknowiedged fore me thi �� day of �(.:ii(�/ ,_� bY who is �personally known to me or (_) produced � as identification. - o*` Notery PuDlic Spte ol Florida Notar Publi : � � TheresaG.Brown y Print Name: . M Canmisaqn DD751735 �'�.1��1?� :. o�n Exaires Verification ursuant to Section 92.525, Florid Statues. Under penalties of pery'ury, I declare that I have read the foregoing and t t the cts s ed in it are true to the st of my knowledge and belief. Signature of Natural Person Signing (i L e#10) Above STATE OF F,LO��D�I, OF PASCO THIS IS TQ �EFZI'IFY THAT Th(�'FOREGflING IS A TRUE AN�D CORREGT GOPY 0� f'Ca,E JOCUi41ENT ON FILE 01� OF PUBUC R�CORp IN'THIS OFFICE WITNES`5 MY HAND D OFFICIfaL�EAL THI �DAYOF ' !e 2 PAU EIL TROL ER . ;,. BY UTY CLERK