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Dec131211•11a HULME 352-596-0022 p.1 <br /> S�H �I II�III II�II IIII)IIIII IIIII IIIII IIII�IIIII(IIII IIIII IIII I Rcp!:1483910 R�c: 10.00 <br /> DS: 0.00 ! <br /> � 2012218114 ____� 12�28�12 D. Bonilla,ODply Clerk ' <br /> � <br /> �TOTfCB OF CO�N�g�g;N� � <br /> Pe�nit No. <br /> Properry Iddttification No. � i—oC iP��,� ���►--. ��.Q�3-- �Q t�j <br /> THE[l3�ERSIGNID hveby gives ao6ee that improvements we"11 be made W certain cea!PmperiY,aad in accordaacx with Section <br /> 713.13 of the Florida Statuies,d�fNlowiog p�}'o�ffion������Np�•�CE OF G'ObIIVIENCEMENT. <br /> 3. Deserigtion ofprop Q/���� vk +�, <br /> a) Shtet Address: <br /> 2. Gmeral drscriptiou of improvesnents <br /> 3. Owner Infamation <br /> a� x��a�a�:�,.4�._�1� '�`�l uQr� �� [t��p ZEnh�� ►-h� �I� �L ���u..� <br /> b) Nama ecud address of{�e simple titl holder{' th�r than o�,,;.e�.� <br /> c) �noerestin pxoP�Y <br /> 4. Contracior Information <br /> a) Na�e aod addrzs� � <br /> b) Telephune No.• � � F'L <br /> . 5urety In€ormatiaa Fax No.(Opt,) <br /> a) Name and address- <br /> , b) Amount of$ond <br /> c) Telephane No.: Fax TTo. t <br /> 6. I.ender ��P ) <br /> a) Name and addr�ss: � <br /> 7- 7daniity of pason wiilvn tLe Statc of F[grida des�nated by pw�er up�a,��notio�s or ot�dpptateots -- <br /> a) N�e and address may be se[ved; <br /> b) Telephane i�fo.: Fax No.{Opi,) <br /> 8- Irt addition m himsel�owner desi�ates Uu following petson ta neceive a copy of the Lieaa�s Notice as <br /> � 713.13(1)(b),PJorida S�tutes; providod in Sec�an <br /> � a) Name and a�s.� <br /> b) Telephone No.: Fax No.(�PL) <br /> 9. Expiratiort dabe ofNotice of Commc�cem�eSt(!h�cxpuation dat�is one year fram the date of <br /> ' specifitd}: smonding unless a differmt date is <br /> WARNNING TO ORrNER:ANy pAy�yI�N1'g(�,g,pE gyt�E 0��,�g�,�E��A�ON OF T�NUTICE OF <br /> coM�E1vCE�r�coxsID�gRgn�OP�R e���DER CBApTER�y3y pART 1,SECTf�N 713.13, <br /> FLORZDA Sl'ATUTBS AN�y C,qN RESUL1.IIv YO�R PA]IING TWICE ROR lPRQyEM$1�TS Tp YOUIt PROpERTy.A <br /> NOTICE OF CO�MEN'!'MIISI'BE R6C(lRpED AND YOS7ED OP[7�,r JOB SiTE BEFORE 7�FIIiST <br /> INSPECTTON.IF YOII IKI'END TO�STA1N FFNANCINNG,CONSULT YODR LENDER OR AN ATTORNEY BEFORE <br /> C014IIVIENCWG WORK QR RECORDIIYG YOU NOT[CS OF COMi1�iCBiV�NT <br /> ISTA'1�OF FLORIDA ` <br /> i COU[V7'Y OF Pq,SCp <br /> ' i � O�Ow�r or Owner' Aut�p� <br /> -----�, <br /> .,,c.�v c,�,� <br /> . �� <br /> 7'he faregoing instramenc was acknowledged be{ere me�� �_ . <br /> � �Y ofJ�(e�nr�,�,,� ZQ]�by <br /> � f'�.,��• e eore � (tYPe ofauthoritY.�B.officer,h�t�, <br /> I _ " (asitne of pnrty on behglf r was execu �Tn�'in faet}far <br /> I Personally Known`OR Pcoduced[drntification�' " � <br />� Notaiy Signa <br /> TYP�of IdaKifica�on Producrod�,�L <br /> -----._.. Nune(peine) <br /> Vcrifitatiou pucataat oo Scaieu 9Z525.F(orida Sffiluta.Underpeaald . <br /> iu it are tnie to t}u 6es[of my imowledge tad belief. F:::'u7+•[d et 1 bave Rad the fo��g and tLa[the facts slated <br /> r�caasteoc.,,moo� <br /> etiaor h.... w6w� <br /> � <br /> , �,�� KATHERINE S.TRFMMEL <br /> p" Notary PuENc,Stete of Florida - <br /> Commission�f EE 2t0464 PqULA 5 0'NE IL,Ph D Pii5C0 CLERK R COMPTROLLER <br /> My oomm.exqres dune 2a,2016 12/20/12 1:3 a 1 of 1 i <br />� �OR BK ����_ PG 3400 , <br /> — <br />� <br />� -- ---- - -- - - -- - <br />