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�, NOTI E F <br /> • C�MMENCEMENT <br /> PERMIT NO. <br /> Tax Folio No. I IIIIII IIIIIIIIIIIIIII IIIII IIIIIIIIIIIIIII IIIII IIIIIIIIIIIII <br /> 201203969 <br /> THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property in accordance with Chapter 713, <br /> Florida Statutes,the following information is provided in this Notice of Commencement. <br /> � <br /> 1 Description of property(legal description) <br /> (a) Street Address: 3O � Z � tl S <br /> 2. General description of improvement 'Z - <br /> 3. Owner information <br /> (a)Name and address: w�«�j �Cc�'G p , �.g�'o�( ��'�t,� . � �), , �P,D h� r l(5 ���3.�0 <br /> (b)Name and address of fee simple title lder(if other than owner� TS- <br /> (c)Interest in property <br /> 4. Contractor Information <br /> � (a)Name and address: T e.� f1/'1 C,2 /393' 7 G h/y� ✓� �� �c�Sf'C�p�-e lCL 3.J'6'�� <br /> (b) Telephone No: _ - 43 7 Fax�io (Opt.) 3 � Q� ��_, , �-c <br /> 5. Surety Information <br /> (a) Nameandaddress: Lots 13 to 16, inclusive, Block 133, TOWN C�F ZEPHYRHILLS, <br /> (b) AmountofBond: as per Pla[ Book 1, Page 54, Public Records of Pasco <br /> (c) TelephoneNo.: County, Florida. <br /> 6. Lender Parcel 46 11-�r21-0o lo- 13300-0130; <br /> (a) Name and address: <br /> (b) Telephone No.: ' � � � ' ' <br /> 7. Identity of person within the State of Florida designated by owner whom notices or other documents�nay be served: <br /> (a) Name and address: <br /> (b) Telephone No. Fa�c No: (Opt.) <br /> 8. In addition to him or herself, owner designates the following person to receive a copy of the Lienor's Notice as provided m <br /> Section 713.13(1)(b), Florida Statutes: <br /> (a) Name and address: <br /> (b) Telephone No.: Fax No. (Opt.) <br /> 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is <br /> specified herein): <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE <br /> OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,SECTION <br /> 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR <br /> PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE• <br /> THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER BEFORE <br /> COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> STATE OF FLORIDA, ��� � ��LQf <br /> COUNTY OF PINELLAS Signatur of Owner or Owner's Auth rized Officer rector/Partner/Manager <br /> Gt�en � a r¢-�ne z.. <br /> Print Name Signatory's Title/Office <br /> The for�ePoing instrument was acknowledged before me this�day of (�1Gt(C,� 20�a. ,by F, � Z <br /> as V P (type of authority,e.g.officer,trustee,attomeX in fact�for � � (name of pariy on <br /> behalf of whom instrument was exec ut e d). �:■•_� 's���a•>au..�nu�u ........ .... � <br /> TERRY COLLURA � � <br /> , / ��,,"i r,,,• Comm#DD0777808 � <br /> Personally Known `� Or Produced Identification � ;��+� u�2, �a, <br /> „ _���`; Expires 4/13/2012 � N igna <br /> Type of Identification Produced � 7Y'�`�x—M.w'i��Notary/�ssr►.,Inc : <br /> ::':: <br /> w.+, �.s ..ea.•.ou�u��n���wnu�u�n�� Print Name <br /> ��p�� <br /> Verification Pursuant to Section 92 525 Florida tatutes Under penalties of perjury,I declare that <br /> After recording return to: I have read the foregoing and the fact stated in it are true t he best of my knowledge and belief. <br /> City of Largu <br /> P U Box 2�J6 - ,� `�[� <br /> Largo,FL 33779-0296 5ignat re of Natural erson igning Ab e <br /> Rcpt:1421061 Rec: 10.00 � <br /> DS: 0.0� IT: 0.00 PRULq S 0'NEIL,Ph D PFSCO CL ERK 8 COMPTROLLER <br /> 03/12/12 D. Bonilla, Dpty Clerk 030R BK2 $�'�� PG�f1�1 <br />