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. s�H IIIIIIIilllll11111111111111111111111111111 <br /> 201izeie6a <br /> • �� Rept:1406766 Rec: 10.00 <br /> D5: 0.00 IT: 0.00 <br /> 12/30/il C. Cook, Opty Clerk <br /> NOTICE OF COMII�NCEMEIVT PRULR S 0'NEIL,Ph D PfiSGO CLERK & COMPTROLLER <br /> 12�30�11 8639 P � ° 3858 <br /> OR BK <br /> Permit No. <br /> Property Identification No. �-� � � a � 6 ��� �w r v�� <br /> f—T <br /> TI-IE TJNDERSIGNED hereby give informs you that the improvement wil] be made ta certain real pruPerly� and m au°Tdance with ` �/- , <br /> Scccion 713.13 of the Florida Statutes, the following infarmetion is provi ed in thie NOTICE OF CO �MLNT• � � �' � lUV VJ� �1�J <br /> ��_ ZG_ — p��o�) �S°o- c�v3v SpS� �`^ � �to�+�.�2a <br /> 1.Description of properry (lega/ descrlPtlon:J / <br /> a) Street Address: �. <br /> 2.Oeneral description of improvements: <br /> 3.Owner Infotmation �! �' ��yU BQ�'CQ � k+Q <br /> a) Name and eddress: <br /> b} Neme and address of fee simple titleholder (if other then owner) " <br /> c) Inurest m proPerty <br /> 4.Contractor Information <br /> a) Name and address: <br /> b) Telephone No.. Fax No. (Opt) <br /> S.Surcty 3nformation y <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No. (Opt) <br /> 6.Leader � <br /> a) Name and address: Phone No. <br /> 7. Identity of person within the State of Flor'da d i ted by owaer uRon whom no 'ces or other d ts ay be served: <br /> a) Name and address: � Fax No. (Opt) " �(� <br /> b) Telephone No.: <br /> 8.In addirion to himself, owner designetes the ` 1lowin pe:son w receive a copy of the Lienor's Notice as pmvided in S�'on <br /> � i 3 i3 (1)N) �'iotiaa scannes: �j ���. '�q� 2� S � s�'" 1►^Q,,�•" �'1 �., I,a i"P o�� � <br /> a) Name and addrws: � <br /> b) Telephone No.: � ^ � Fax No. (Opt.) '� <br /> 9.Expiration date of Notice of Commencement (the expitarion dau is one year from the date of rewrding unless a different date �s <br /> specified}: <br /> WAItNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER APTER THE EXPIRATION_OF'THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IIVIPROPER PAYMENTS UNUER CAAPTER 713, PART I, SEC1'ION 713.13, <br /> FLORIDA STATUTES, AND CAN RESULT W YOUR PAYIING TWICE FOR DVIYROVEMENTS TO YOUR PROPERTY. <br /> A NOTICE OF COIVIMENCEMENT MUST BE RECORDED AND POSfED ON THE JOB S1TE BEFORE THE FIRS7' Q z U a <br /> DVSPECTION. IF YOU WTLND TO OBTAIIH FINANCIIVG+ CONSULT YOUR LE R OR AN ATCORNEY BEFORE <br /> COMMENCING WORK OR RECORDIIYG YOUR NOTICE OF COMIVIENCEME ,p z��= a W � <br /> srw ., y � V �� � F . <br /> co���W!R�s�JACQUELINEBOGES s��m�oro�m �.�aos�« � I�e.�Mtm.sQ o` � a x° � �' � ,',: <br /> '• ' ' . � • •::_ Commission # EE 040520 „� � d ^�—' f ��-, � = z J � `—� <br /> q ��.�. - — <br /> '_,�..:,�: Ex res December 12, 2014 �y �� �. Q � <br /> {, . K •. ; � PrintNeme � <br /> J; .��-�� �`� BoMed7TwTroyFainNauance8003657019 LL � () (j <br /> :.,.`�"^:�::�,. �_ dey of �C�r 20� by Z w O O <br /> fore oin t wes a ow e ore me this = � o�y <br /> g B (type of authority, ag. officer, trustee, attorney > 1- }� u.. <br /> ' iS� ���— 89 O 1— a� � <br /> in fact) or (neme of party on behalf of om inslrume� was exacuted)• <br /> C:.)=a W <br /> Personally Known /` OR Produced Ideatification _ No�Y SxB�� �~~-� Q U <br /> � � U m p � <br /> �F-�--�dZ O_i <br /> xame (princ) C�. rl� �3 D. O���= a w" <br /> Type of Identification Produced J W O p n�' <br /> � U U � � O <br /> V erificarion pursuent to Section 92.525, Florida Statutes. Under penalties of perjury. I declare that I have tead the foreBoing 8°d that O�� � c� �l c/� <br /> ill Cn Q _I W '�. <br /> the facts stated in it are truo to the best of my imowledge and belie£ Q��� z <br /> F-=�Z � � <br /> SigeMUre ofNae�rsl Pmon SiD�i'`�'O fn �- F-- �- a m <br /> FORMSMOC�M�OQ7 <br />