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Permit Number <br /> Parcei ID Number 11-26-21-0010-21200-04A2 <br /> NOTICE OF COMMENCEMENT <br /> State of Florida <br /> County of Pinellas <br /> THE UNDERSIGNED hereby gives notice that improvements wiil be made to certain real property, and in accordance with Section 713 13 of the <br /> Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT <br /> 1.DP.SC�IptIOI�Of pCOpelt�/�IP.gc7I UeSCCIptIOA). CITY OF ZEPHYRHILLS PB'PG 54 PORTION OF LOT 4-A BLOCK 212 DESC AS COM AT SOU�HERN MOST COR LOT 4-A BLOCK 122 TH NWLY <br /> a)Street(job)Address: 5029 16TH ST ZEPHYRHILLS FL 33542-2142 <br /> 2.General description of improvements: Interior& Exterior Repairs from fire <br /> 3.Owner Information or Lessee information if the Lessee contracted for the improvement: <br /> a) Name and address. PEAVEY JOHN B&SHIRLEY A <br /> b)Name and atldress of fee simple titleholder(if different than Owner listed above) 5029 16TH ST ZEPHYRHILLS FL 33542-2142 <br /> c) Interest in property Owner <br /> 4.Contractor Information <br /> a)Name and address Guardian Restoration Services, Inc. 5435 Dr M L King, Jr S N„St Pete, FL 33703 <br /> b)Telephone No 727-527-3282 Fax No (optional) 727-576-1946 <br /> S.Surety(if applicable, a copy of the payment bond is attached) <br /> a)Name and address: none <br /> b)Telephone No <br /> c)Amount of Bond $ <br /> 6. Lender <br /> a)Name and adCress. none <br /> b)Telephone No <br /> 7.Persons within the State of Florida designated by Owner upon whom notices or other tlocuments may be served as provided by Section <br /> 713 13(1)(a)7 , Floritla Statutes� <br /> a)Name and address. none <br /> b)Telephone No Fax No. (optional) <br /> 8.a.ln addition to himself or herself,Owner designates of <br /> to receive a copy of the Lienor's Notice as provided in Section 713 13(1)(b), Florida Statutes. <br /> b}Phone Number of Person or entity designated by Owner� <br /> 9.Expiration date of notice of commencement(the expiration date may not be before the completion of construction and final payment to the <br /> contractor, but will be 1 year from the date of recording unless a different date is specified) ,20 <br /> WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE <br /> CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE <br /> INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR <br /> RECORDING YOUR NOTICE OF COMMENCEMENT. <br /> 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 <br /> knowledge and belief , � <br /> i nature of ner or essee,or wner's or Lessee's(Authorized OfficedDirectodPartner/Manager) (Pri v�me'�nd Provi�Sig�ato's Title/Office) <br /> Th for � g instrume t was o before me this da of �� �+ � ��� � <br /> � � / y �e�� ��. �20 l�. <br /> by �!� �� as �O� � �/ ` ��a� �Q, .�f trustee,attorney m fact) <br /> for �!1,�) �,l y � , as � ��' 1,20�0�; :- <br /> � , . . . <br /> � � �Name f Person) t q� ' �� �$ ' ! <br /> (ype�au:�ty, e.g.officer,�r�i�ttorney in fact) <br /> for (nam rty on behalf of�r=instrurr�rR�a ec�Gt� <br /> Personally Known � Produced ID ❑ � � � ' ti ?°� <br /> Type of iD Notary Signature % '•. � � �� <br /> �' . qelc <br /> Printname �,(��I`�� ���f� � �� ���� <br /> f fT <br />