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' � Effective: October 1,2011 IIIIIIIIIIIIIIIIIII�IIII�IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> 20 11188470 <br /> " Retum to: <br /> NOTICE OF CO�NCEIvIENT <br /> State of Fiory�a� <br /> County of y Permit No. <br /> Tax Folio No <br /> The undersigned hereb -- <br /> Chapter 713, Florida Statutes, the fol o�win n n t alion s ded in this Noti e ofCo maencemento e <br /> p., '_� P P rty, and in accordance, with <br /> I 7 � �� ' °'1 ' �1p • 0�11- <br /> Desc� Pr�op�e_rt`y: (.Q� � M � °l � � � • C7C� 1 O <br /> T "' r �5Q I V�' P�Cj ��.,��� g '�� <br /> z• General descriptipq ofi �oye n � : ��S c� �,� � ��t. 3 3Si1 a. <br /> 3 t � � y Sy j � ° � a� <br /> Owner Information or Lessee information if the Lessee contracted for the improvement: <br /> a• Name and Address: 1 f ' 1 �_ <br /> � �' �'�P .�riTtwood T � � <br /> b• Interost in Pro e ' ��� i�- 335�{a. <br /> °• Name/address of fee si�mP e titleholder (ifdifferent from Owner listed above): <br /> 4 Contractor: <br /> � a Name and Address: (Y� �� {� .,.,, <br /> v�-1 L <br /> b• Phone riumber• rI'l1US� �, ��i.� I <br /> � 5 Surety fifapplicable, a co of a '�� <br /> pY p yment bond is attached): <br /> e� Narne and Address: RCpt :1402621 <br /> ' Rec: 10.00 <br /> b• Phonenumber� DS 0.00 IT: 0.00 <br /> 12/06/11 C. Cook, Dpty Cle�k <br /> Amount of bond: $ <br /> 6 PRULq S 0'NEIL,P <br /> Lender: 12 /06/1 j h � PRSCO CLERK 8, <br /> a� Name and Address: <br /> OR gK � �i j � <br /> b• Phone number• <br /> v � v PG o � 5� <br /> �• Persons within the State ofFlorida desi <br /> served as provided by Section 713 13 1 a 7 , Florida Statutes; �a�ed by oW�er "po� wnom nocices or other documents may be <br /> �)O <br /> a• Name and address: <br /> b• Phone numbers of designated persons: <br /> �_ <br /> 8 ' a• In addition to himself or herself, Owner designates <br /> Statutes. fo �eceive a copy of the Lienor's Notise as provided in Section 7j 3 13 1 of <br /> � )�), Florida <br /> b• Phone number of person or entity designate8 by owner• <br /> -----_ . <br /> 9 � $xpiration date of notice of commencetraent (the expiration date may not be before the completion of <br /> construction and final payment, but will be I year from the date ofrecording unless a different date is specified) �_ <br /> ; <br /> WARNING TO OWNgR, qNy pqy��TS MADE gy T� ��ER AFTER THE EXPIRAT[ON OF T <br /> COIvIIvtENCEMENT qI2E CONSIDERED IMPROPER PAYMENTg UNDgR CHqpTER 7I3, pqRT I S � OOT 13 OF <br /> FLORIDA STA'I'UTgg� ,qND Cq� � S� T I N Y O U R p A Y I NG TWICE FOR IMpRpVEIv[�TS TO YOUR PROPERTY <br /> A NOTICE OF COA•IMENCE I v� N j M� S T B E R ECORDED ANp ppS�D ON TFIE JOB SITE BEFORE T[-IE pgtST <br /> INSPECTION. IF YOU IN'TENp TO OBTAIN FINAi•ICING, CONSULT WITH YOUR LENDER ptt qN qTTORNEy <br /> BEFORE COMIvvIENCp.�G WO� OR �CO��G YOUR N01'ICE OF CO1�II�IENCEIvIEN'I' <br /> Under penalties of pery'ury, I declare that I have read the foregoing Notice of Commencement and that the fac[s stated in it are <br /> t-�:e to the best ofmy icnowledge and belief. <br /> _� � ^ ; . o w ! <br /> (Si�atu e of Owner or Lessee, or Owner's or Lessee's <br /> Authorized OfficeNDirectodPartriodAqanager) <br /> Signatory's itle/Office: <br /> STA'I'E OF Q <br /> COi1N7'y OF D�/af/ �_ <br /> The foregoing instrument was acknoH before me this� day of ��}� M � <br /> for <br /> -_ �� Z �� by � <br /> as <br /> _.._. _.�__ <br /> Personall ''�g Notary Public, State of�_ <br /> Y Known _�_ � produc�d•Identif cation printed Name: <br /> T yp e ofIdentificationProdu ce d ° —;--. G�T�4��Q Q� <br /> _� �• . — , <br /> � ; , . ' My Commission Expires; <br /> .,. � <br /> C , ,s�w � <br /> � 'C,o ^ � m . � ` �, �,�o+re•� ,,- ,�^„ ;%;biir, State: �;! Floridi <br /> *c ,� � Icpr.r� Rvff?8fi <br /> � ' ' . � `- �c ` a �V�y Comm�ssion DD751o10 <br /> r `, � � 'EOFS�°� ExPire501;24/20t2 <br /> r. � <br />