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i <br /> ������������������������������������������������������������ <br /> , <br /> 2012133109 <br /> �� <br /> � Rcpt;1453088 Rec: 10. <br /> DS: 0.00 00 <br /> e8�e��i2 Ir: e.00 <br /> �• Miner, DptY Clerk <br /> PqULR S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLEh <br /> 08/07/12 0�4�0�� PG o �1 <br /> OR BK � ��� <br /> NOTICE OF CO MENCEMENT <br /> Permit No. <br /> Property Identification Na ('��' ��-vJ�� ' �C,f,�Uc)— i 3� <br /> "THE UNDERSIGNED hereby gives notice that improvements will e made to certain real property,and in accordance with Section <br /> 713.13 of the Florida Statutes,the following information is provide in the NOTICE OF COMMENCEMENT. <br /> 1. Description of property(legal description: �- � 7 , � ,_ �� ��j � .� � U�)� r <br /> a) StreetAddress: �� ��`7( P� $ <br /> �' �31� � � Z <br /> � 2. General description of improvements �7 <br /> 3. Owner Information _� <br /> a) Name and address: l.:.. � v t� -5{- �e � j j5��� <br /> b) Name and address of fee simple titleholder(if other than o ner) / ' <br /> c) Interest in property <br /> 4. Contractor Information �-z <br /> a) Name and address: .% �'ti� , (,'�S ( �,/.�!`,e <br /> b) Telephone No.: Fax No.(Opt.) <br /> 5. Surety Information <br /> a) Name and address: <br /> b) Amount of Bond: <br /> c) Telephone No.: Fax No.(Opt.) <br /> 6. Lender <br /> a) Name and address: <br /> 7. Identity of person within the State of Florida designated by ow er upon whom notices or other documents may be served; <br /> a) Name and address: <br /> b) Telephone No.: Fax No.(Opt.) <br /> 8. In addition to himself,owner designates the following person t receive a copy of the Lienor's Notice as provided in Section <br /> 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 d e is one year from the date of recording unless a different date is <br /> specified): <br /> WARNING TO OWNER:ANY PAYMENTS MADE BY THE WNER AFTER THE EXPIRATION OF THE NOTICE OF <br /> COMMENCEMENT ARE CONSIDERED IMPROPER PA ENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, <br /> FLORIDA STATUTES AND CAN RESULT IN YOUR PA TWICE FOR IPROVEMENT3 TO YOUR PROPERTY.A <br /> NOTICE OF COMMENCEMENT MUST BE RECORDED D POSTED ON THE JOB SITE BEFORE THE FIRST <br /> INSPECTION.IF YOU INTEND TO OBTAIN FINANCING, ONSULT YOUR LENDER OR AN ATTORNEY BEFORE <br /> COMMENCING WORK OR RECORDING YOU NOTICE O COMMENCE NT. <br /> STATE OF FLORIDA <br /> COUNTY OF PA yp� '�'''"°``'P`�'�" <br /> a�`r� ,. ' i`�`���?d <br /> � ��` ;.,,�r,�` Signa re OF Owner or Owner's Aut6orized Officer/Director/Partner/Manager <br /> f�; t:`� <br /> � ,;� • „ ,ti- . =���a <br /> _u„Y .,�.�ss�. Co " (' �... T+i^ .� <br /> �=�..�.�a=.:v° . , .,,.�da,r„� Print ame <br /> The foregoing instrument was acknowledged before me this 2_day of U d1/ST �2p �,') �by <br /> e ItlC RpiAIJ as (type of authority,e.g.officer,trustee,attorney in fact)for <br /> (name of party n behalf of whom instrument was executed). <br /> Personally Known_OR Produced Identification� Not Signature aTeiC.rG qRa,O a�• <br /> Type of Identification Produced D.L. RSSO-a01-�O� Nam (print) Pf1T C,! JO N/ <br /> /78- O <br /> Verification pursuant to Section 92.525,Florida Statutes.Under penalties perjury,I declaze that I have read the foregoing and that the facts stated <br /> in it are true to the best of my knowledge and be:ief. <br /> FORMS/NOC,rv5d2007 <br /> Sigia ofNaNral Person Si�ing Above - <br /> `� ,,, <br /> ST�`i E cJ� �LORfDA,G �-'�l:p <br /> �` <br /> THIS fS T;`��.{�R71FY TH E FOREGOINS���A <br /> TRUE,q�!u CL�Rl�EG�1'G PY��DH�.�)q�J1y�(T <br /> �JN FI;L Of=?OF PI.JB � RE IN�H�OF,F�,E <br /> ' � �JFSS MY HAND D F'!� _ L SEAI�TFiI .� <br /> �� DAY OF 2 �(� <br /> PAtJLR S t�' EIL;` L.E &, MPTROtLE�2 <br /> • � � �, <br /> � -_ � .\r ,, �EP ,�r' ';CLERK <br /> ���, . <br /> •i , <br />