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i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii ii 2012103768 IIIIII Rcpt:1442g71 Rec: 10.00 DS: 0.00 IT: 0.00 06/20/12 �, Cook, Dpty Clerk PR��a 06� S �'NEIL,Ph D OR gK2 1�29a�AS�� CLERK 8 co � ./� �G o f 1 MPTROLLER NOTICE OF COMMENCEMENT 1 2��0 Permit No. Property Identification No. // � l� Z j aQ i O ��(�a o O 3� T'f�UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT. �1.� Description of property(legal descr'^on:) � s �jTs 3 d � �`�'' a) Street Address: h c j ( ( L, ? General description of improvements /°�� l�l S r�LL /d X � � � FtE S / 3./Owner Informahon �,' " � , f� v a) Name and address: vU 5 F`�itl � V��(.a_ ��i J'� S �. �1'1�f��r ��S 1—�� 3�S� � �b) Name and address of fee simple titleholder(if other than owner) c) Interest in property ��I•.Q.n 4. Contractor Information a) Name and address: �N 1�7�bi...- b) Telephone No.: Fax No.(Opt.) 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No.(Opt.) 6. Lender a) Name and address: ' 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served; a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: b) Telephone No.: Fa�c No.(Opt.) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): 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 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEME STATE OF FLORIDA COUNTY OF PASCO Signature OF Owner or Owne s Authorized fficedDirector/PartnedManager ccs�N Ar,� �� �rint Name " The regoing in unent was acknowledged before me this � day of ��.�`Q_ 20 �?by_ �� (type of authority,e.g.officer,trustee,attomey in fact)for (name of party on behalf of w inshvment was execut Personally Known_OR Produced Identification_ Notary Signature � Type of Identification Produc�(� ��C�,rrj,fZ Name(print) - �u2 Verification pursuant to Section 92.525,Florida Statutes.Under penalties qury,I declare that have the foregoing and that the facts stated in it are true to the best of my knowledge atid belief. � FORMS/NOC.rvsd2007 � Si o aMal P Sig�ing Above ra� ,,,; �Z �ACQUELINE 80�ES~`a`" � � �r�p�,�EE 040520 r �T�,T� C3r F�.ORlG�A, C6UNTY �,�; e�``„n",r„rF��2��48 k. �� IS TC GERTIFY THAT THE FOREGOf��;�:� �v A T;UF ,L,P�� CURRECT COPY OF THE DOC�.��AEN-R Oi�' FiLr GR C?F PUBLIC RECORD IN 1'Hi� ��FG(C:. VUI 1�P�E:SS Id1Y HAND A D OFFICIAL SE�,�?��i� �_ QA.Y �F � LL.Ll� PAU�S O'NE�L. GL & COMPTRO�!E�: BY .��DEPUI"� ;��R��.