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AFTER�CO�ING-�T�N TO: I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IlIII IIII IIII 20120��822 Rcpt,:1433726 Rec: 10.00 , » DS: 0.00 IT: 0.00 05/08/12 E. Munguia, Dpty Clerk PERMIT NUMBER. NOTICE OF COMMENCEMENT The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement. 1. DESCRIPTION OF PROPERTY(Legal description of the property&street address,if available)TAX FOLIO NO.: ��-26-21-0120-00000-1040 SUBDIVISION WEDGEWOOD MANOR PHASE I& II BLOCK TRACT LOT�04' BLDG UNIT 37402 DERBYSHIRE DR,ZEPHYRHILLS, FL 33542;WEDGEWOOD MANOR PHASE I&II PB 27 PG 11-14 LOT 104 OR 4377 PG 1084 2. GENERAL DESCRIPTION OF IMPROVEMENT: TEAR OFF EXISTING ROOF SYSTEM AND REPLACE WITH TIMBERLINE HD ROOF SYSTEM 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: a.t•�ameandaddress: CLAGUE, MARYHELEN 37402 DERBYSHIRE DR, ZEPHYRHILLS, FL 33542 b.Interest in property F�E S�MPLE c.Name and address of fee simple titleholder(if different from Owner listed above): � 4. a. CONTRACTOR'SNAME: JASON NEUMANN / NEUMANN ROOFING, LLC r Contractor'Sadaress: 30427 COMMERCE DR, SAN ANTONIO, FL 33576 b.Pho�en�mber� $13-782-9080 5. SURET'1'(ifapplicable,a copy ofthe payment bond is attached): a.Name and address: b.Phone number c.Amount of bond:$ 6. a. LENDER°S NAME: Lender's address: b.Phone number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (1)(a)7.,Florida Statutes: a.Name and address: b.Phone numbers of designated persons: 8.a. In addition to himself or herself,Owner designates of to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b.Phone number of person or entity designated by Owner 9. Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be 1 year from the date of recording unless a different date is specified): ,2p 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 I SECTION 713.13 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING 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 FINANCING CONSULT WTTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTI E OF COMMENCEMENT Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my knowledge and belief. `� ' - �� ,� MARYHELEN CLAGUE (Signature of wner or Lessee,or O er's or Lessee's �Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Partner/Manager) FLORIDA PAULR S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLEF State of 05/08/12 12:36 m 1 of 1 �ount}�of PASCO OR BK g��'5 PG 1143 The foregoing instrument was aclrnowledged before me this / �r day of m�`� ,2p /oZ by m��y�t��✓ �s��vc ,as �w�� (name of erson (type of authority,...e.g. officer,trustee,attorney in fact) for m��y,+��'L.�'!1/ ��U t (name of party on behalf of whom instrument was executed) Personally Known or Produced Identification�Type of Identification Produced �L �L '� �ya0-.i'"��•.3D-c.P�7� TERESA K.EWING-Cf10W NOTARY PUBLIC � $TATE OF FLORIDA (Signature of Notar COt11R1#EE086376 (Print,Type,or Stamp Commissioned Name of Notary Public) Rev 10-01-11(S.Recording) ' � Expires 4/20/2015