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<br /> . NU7'IC'E UF L'UM1�fENC;EMEf�''T 2013162724 ^ �- -- - ---- - -\.
<br /> �---- Rec: 10.00
<br /> Rept:1550995 IT: 0.80
<br /> Pernui Nu. D5: 0.00 t Clerk
<br /> Tax folio No 3¢�cK-al-Q�QO-QQL�-/380 09/19/13 C. Mine�, DP Y --
<br /> THE IINDEkSJGNEll hcrcb,y gi��cs nniice that imrrovemrnis wi)I be madc io cenain rca!proj+erry,and in accordanre w�ih Scction
<br /> "r I 3 13 oi ihc Fiurida�St�tuies ihe fnll��wing infi�nnation ic pi�,vided in i is Nn7'1CR nF(�nMME�'C"EMEN'I
<br /> G,!°j�NS� /�oiti�or.c3'- �has a BNE
<br /> 1 Description o1 property(legal drscripNon):��3�_f f�la�.9�f�/O�_iCpZ/�$_0� �!'S( Pc�t lD�� _ .__. _ ...
<br /> a)Strcei(joA)Address• �_7.�'J. .GoR�N/.�j�dC ZdP%h/IZH�.l�$,IC/�3S�f/ _
<br /> 2 General deccription of improvemen�s: �o�,.,tire��' C'o�'pD� .�p qar� _. ,_ ._ _ ___
<br /> �a
<br /> 3 Oamer lnforma[ion - -• • - --• - - - -- - - -- — - -- • - -- . ._ - - -- - �--
<br /> a)Name and address•���IiAM T�rT 37Si�._l���,g,�Irv�_ r��yr.h�//S��/_ 33SS!� _
<br /> b1 Namc and address of fce sunplc� holdcr lif other Ihan nwncr)` _�___ ..____`.
<br /> c)lnteres�in properry.-•-- --- —• - ---------.•— ---
<br /> 4 Con�ractor lnfornwtion "3a+�N �onsrrr.�.��na,y aFC�M r��, F! i�vc.
<br /> � a)Namc and address:���? �s �� � ��) T��N.//2N.ClS F/ 335�3 __
<br /> b)Tekphone No.• _8/3-7$�-�ls.}� Fax No.lO�pt.) �'�8-?/SloSB� _
<br /> 5.5urery Informaaon
<br /> e)Name and eddress; _
<br /> b)Amwmt of Bond: --- - ----,---
<br /> c)Ttlephone No.: _ F�x No.(Opt.) _
<br /> 6.L.ender
<br /> s)Na�nt and address: -- - - —- ----- —
<br /> Phonc No.
<br /> 7. ldentiry otpeiwn within the Ststc of Florida designated by owner upt��whom nrnices or other dceuments may be scrved:
<br /> a)Name and address:
<br /> b)Telephone No.: Fax No.lOpt.) .
<br /> S.ln addition�o himseff,awner designa�es t6c following pason to rcceive a copy o!�hc Lienor's Notice as provided in Section
<br /> �13.13(1 Kb),Floaida Sututes:
<br /> a►Name and addrcas:
<br /> b)Telephone No.: Fax No.(Opt.)
<br /> 9•Fxpirttiom dau otNotice otConunenoernent(the e=piraUoo date ic one yerr froin Ihe date of recording anlecs M difierent date
<br /> is spccified);
<br /> WARNIING TO OWNER: AM'PAYNIEN7'S MADE B1'THE OWNER AFTER THE EXPDU7'lON OF THE NOTtCE OF
<br /> COMM�NCFMEN7'ARE CONSIDERED IMPROPER PA�T�T'S UNDER CHAPTE3t 913,PART I,SECTION 713.13,
<br /> F1ARIDIA ST'A7ITPFS,AND CAN RESULT IN YOUR PAYDVG 71VICE FOR II�3PROVEN�NI�TO YOIIR PROPER7Y.
<br /> A NOTIQ�OF COMI►¢NCEMEM'MUST BE RF,CORDED A,riD pp6TEp ON TIiE�OB S1TE BEFORE THE F�tST
<br /> 1N5PE�70N. IF YOU INTEND TO OBTAIN FINANC7NG,CONSULT YOUR I.ENDER OR AN ATTORNEY BEFORE
<br /> COMMI�TCING WORK OR RECORDING YOUR NOTICE OF COIVDVI�NCEi►�NT.
<br /> STAfIOi � �� � +�
<br /> �o�a �,o_ �
<br /> Sipiuture ofUroer a►Orner•t A OlUmrDirsnw�Pan�/Mwjei
<br /> ����iarn IC�ti'qr�
<br /> Prio�N�me
<br /> Thc foregoing mmumen�was acknawledged before me Mis._,��aay of��7t'�r3E2,20�,by Lc�./�irrM
<br /> �
<br /> ���� as (type of autbority,e.g.otficer,truttcc,
<br /> aftorney io fscc)for (name o!partv on beDd1 of wbo inttr menl rvas eYetutcd).
<br /> Personatly Known_OR Produced ldentification_ Notary Signaw ,P Q
<br /> Type ofldrntificaiion Produced Name(print)��7Ll�I'1 V'^-+�'L�i� '
<br /> :^5 - ' ;�
<br /> I Verit�cation pursuant to Section 92.525,Florida Statutes.Undcr yen��ies of pujury,l declare tha�I have read tbe foregoing and tha�
<br /> I the facts s�ated in it arc we to I►K best of my knowledge and beliet.
<br /> ' . .
<br /> � F011MS'NOCr�.ei007 ��/�,y.�,,, � �/�
<br /> ,,,��n,. �Signrnuc of Nsnual Pctson SiFn' lina k 10.)Abovc
<br /> I `��.J����%��- SARAH EUZABETH VALENTINE -- • ___ ___
<br /> - Noluy Pubtic•St�te oi Flurida
<br /> � ;�;MyComm.ExDfntAup22.2014 pqU�R S 0'PJE1�,Ph D PRSCO CLOf & COMPTROLLER
<br /> I �'�;�,,.,,d;�� Comm►ssion�e EE t9799 09/19/13 09�2�a= iP� ���+
<br /> ,�,�.,.�� OR BK �3g �t -- - � --
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