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i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii <br /> 2 011180200 <br /> Rcpt:1400013 Rec: 10,�0 <br /> DS: 0.00 IT: 0.00 <br /> 1 1/18/11 C. Cook Dpty Clerk <br /> NOTICE OF COMMENCEMENT <br /> � <br /> Permit No PqULR S 0'NEIL,Ph D PASCO CLERK 8� COMPTROLLER <br /> 11 0R BKl �6�� P � o 5�2 <br /> Property Identification No �� � 2(0- Z�- QOI� -/l� ` J�,���1'O <br /> THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and m accordance with Section <br /> 713.13 of the Florida Statutes, the following mformation is provided in this NOTICE OF COMMENCEMENT <br /> 1 Descriphon ofproperty (legal description :� Z k Pd! Pl,S�f L�/y�a/,S'(�l.kzat oQ 3oa P �, �� <br /> a) Street Address • � � �- � � � f , � <br /> 2. General descriptian of improvements; <br /> O ` 'i � w� � K <br /> 3 Owner Information }, <br /> a) Name and address 4'/'t �C � 9�v rp� f� �, /� y��f.�, `� ���j 3��� <br /> , b) Name and address of fee simple titleholder if other than owner) <br /> c) Interest in property <br /> . Contractor Information <br /> g a) Name and address „ s(,o f h�v �j� �, � 3��a S�Z <br /> b) Telephone No.: _? . y. S� -- 7 G(e � ' p0(f �i� ����ic' /�, h/�� <br /> 5 Surety Information V Fax No (Opt.) 3S'Z S&�- 7 Qv (r -� ' �� fZ 5- <br /> a) Name and address� <br /> b) Amount of Bond: <br /> c) Telephone No, Fax No. <br /> 6 Lender (Opt.) <br /> a) Name and address <br /> 7. Identity of person within the State of Florida designated by owner upon w om noti es or other documents may be served <br /> a) Name and address: <br /> b) Telephone No <br /> 8 In addition to himself, owner designates the following person to receive � apy of the Notice as provided m Sechon <br /> '13 13(1) (b), Florida Statuies• <br /> a) Name and address . <br /> b) Telephone No . Fax No. (Opt.) <br /> 9 Exp�ration date of Notice of Commencement (the expiration date is one year_from the date of recording unless a d�fferent 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 i1NDER CHAPTER 713, <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, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA <br /> COUNTY OF PASCO _ <br /> �. <br /> S ign re of Owner or Owner's Authoriz �cer/Director/Partner/Manager <br /> �-1-nZ; � � �d <br /> Print Name <br /> The foregoing mstrument was acknowledged before me this �day of ��U ' <br /> as �� r , 20 �, by Pu �r�Ci� g�✓� <br /> in fact) for (type of authority, e g. officer, trustee, attorney <br /> (name of party on behalf of whom instrument was executed} <br /> Personally Known � OR Produced Identification <br /> Notary Signature <br /> Type of Identification Produced Name (prmt) �(���� ��i� � <br /> Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the foregomg and that <br /> the facts stated in it are true to the best of my knowledge and belief. <br /> ' cz. Q <br /> FORMS/NOC,rvsd2007 Signature of Natural Person Signing Above <br /> ��kL Nota Publir. i p� p �'4� N Public State of Flo ' <br /> i�� �' �' State of Florfda . 3cott lackman <br /> . Scott C Blackrnan � �� ��„ ;��,,,_ � <br /> � MY Commission DD796572 796572 <br /> or� Expires O6H0/20+2 <br /> or E "'= � _ � ? <br /> �° °<.s4.,�r, a,,��� •. .. h� ,-r <br />