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ti� Notice of Commencement IIIIIIIIIIIIIIIIIII�IIIIrIIIIIIIIIIIIIIIIIIIIIIIIII' 0 11163579 � IIIIIIII Permit No. Properly Identification No. I�'ZG'Z� �JD00 ' a0�00 ' 000 0 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real properly, and in section 713.13 of the Florida Sfatutes, the folbwing information is provided in this NOTICE OF COMMENCEMENT. 1 Description of properly (legal desaiption: ) � y� z � 2/- D 0 0 0' 6 �,? p o ^ U o o� a.) Street Address: 4846 Rolli�s St Zephyrhills, FL 33542 Rcpl:1394762 Ree: 10.00 2. General description of improvements: Replacement wndow Inshallation. DS : 0. 00 I T : 0.(d0 10/20/11 M. Dodd, Dp4,y Clerk 3. Owner Informa6on W�^T•fJ M�, ��j H° tis A/'k a.) Name and Address Ronald or Gloria Dumais 4846 Rollins SL Zephyrhills FL 33542 ppULR S 0' NE I L Ph D PASCO CLERK & COMPTROLLER b.) Name and address of fee simple title holder (if other than owner) 10/20/ 11 12 • 10 m 1 of 1 c.) Interest in properry Owner OR BK �� 2 PG 2CJ3 � 4. ConVactor Information a.) Name and address Steven Irwin Rogillio 5910-8 Breckenridqe Parkway Tampa, FL 33610 b.) Telephone No. (866) 946-3189 Fax No. (opt) 5. Surety Information Q F- V � a.) Name and address: � W t� u? W � b.) Amount of Bond: � ��9 � a�: � � } F- �. c.) Telephone No. Fax No. (opt) �' C� cn � �� O � 6. Lender �� a� 1y ��U n- L a.) Name and Address Q T—�-. ? � Phone No. u- � �� i�. L? � .�C�-; 7 Identi of n within the State of Florida des' nated pon y � F" �- � J � tY P�� g by owner u whom rrotices or other documents ma be served: �.. `� f a.) Name and add2ss: Q� C �� -� � b.) Telephone No: Fax No.(opt): _�_ f r,�_ � e • S.In addiGo� to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section ,_ -',-± �-� � l '- 713.13(1)(b), Florida Statutes: ti. :�;� � , ;-- ?- i� a.) Name and Address "_ �', �� � � �.. �, b. Tele hone No. � � - °- �� ) P Fauc No. (opt.) � � � �� r=� ,✓ .. -' ;: >; v1 �.. �u v. �� 9. Expiration date of Notice of Commencement ( the expiration date is one year from the date of recording unless a different date is �,__ i,��: ' t� � specified): �`.� `n ""' � i-- 4t CnI--F-OS m 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 1, SECTION713.13, FLORIDA STATUTES, AND CAN RESULT DSF YOUR PAYfNG 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 FlNANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE Of FLORIDA COUNT! OF � � Pasco x - S' of Owner or 5 A Whaized OffieedDirecta/PaMer / AAanager O```" �� ... v '��L Ronald or Gloria Dumais •�,s Print Name � �� " a : , .�' The foregoing instrument was acknowledged before me this 11 day of October 202011 by Ronald or Gloria Dumais ' �"' ��,, � as (Type of authority, e.g. ofticer, trustee, attomey in fact) T � O � �� ( name of party on behalf of whom instrument was execut ). � m�� Personaly Known Or Produced Identifiption X Notary Signature � � d�� � O Type of Identifiqtion Produced � � Name (print) . Joseph John Pogash � N � Z � � . verification pursuant to Section 92.525, Florida Statues. Under penalties of perjury, I declare the 1 have read th oin and that the N�� facts stated in it are true to the best of my knowledge a�d belief. 9 ° V� y N �'A = • � FORMS/NOC.rvsd2007 X � nature W Natural Person Signing Above