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03/17/2014 03:48 3525889763 SBR ROOFING PAGE 01
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<br /> ��/-��y Rcpt:1�83546 Rec: 10.00
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<br /> Perr�itNo. _ , 04/03/14 E. Mun9ui�, Dpty Clerk
<br /> Properry idcntitication No. 3�S- �S�� � -- (�j s�} -0(�0(9Q .. �y� �
<br /> Ti�T�UNDERSIGNED hereby gives notice that improvcments wiU be made to certain rcal propGrty,and in aceordnnce with Section
<br /> 713.I 3 of the 1�lorid`a�Sta�tu�t¢s,the following m r�at�on is vided in thc NOTTCE pF COMII�NC
<br /> ��(�e.¢x.- p�'� '� �5 � .'.� �� �! ^ a � r�4[�QD ���b
<br /> 1. Desc�ip on of ptop (legR!deac�o�i: e� � / a Q f� � � �
<br /> a) Suea Address: �.3 - �j
<br /> 2. Gc aQl des 'ption of ii»provemenls V� �1' � S'�(�
<br /> 3. 4wncr 1 nrmatiun �
<br /> a) Name ared address:� , p � (,� � ! � � G5, �
<br /> b) Name and address of i'ec situple tit�eholder(if other tham owner)
<br /> c) Interest in properry,,,9w�Cr �` ������U�
<br /> 4. C�ntractpr inforniation SQptt �(� � •
<br /> � a) N�n,e�tnd addtcss: -
<br /> b) 7alCphone Np.: 5 ' ���$�
<br /> 5. Surety Inforrn,ati�m
<br /> a) Name and addness:
<br /> U) Amount.of$ond;_ '
<br /> c) Telcphdne No.: Fax No.(Opt)_�
<br /> 6. (.�nder ` `- - .
<br /> a) Name m�d addres,:
<br /> 7. IdentiCy of per.Son withm the Statt uf Flprida designateci by owner upon whom notices or other documents�nnay be se�vecl;
<br /> . a) Namc bnd address:
<br /> b) Telephonc No.: Fax No.(Opt.) ��� � � "
<br /> x• Xax additioa to k�imsclf,owner dcsignates t�xe foliowin -"�' "�
<br /> 713.13(1)(b),F l a r i d a S t a h l t e s: �P��on to receive u copy o�t6e Lienar's Notice as pibvided in Section
<br /> a) Name and atldr�s:
<br /> b) Telephon.e No.: �ax No.(Opt.) .
<br /> 9. Expiration date of Nptiee of Cornmanccn�e�tt(the expiration date is one yea�r;from the date of irccordin�unless a differeqt date is
<br /> cpeci�ed):
<br /> WARNING Tp OWNER:ANY PAYMEr1'�'S MAbE$V�'��OWN��t AF'I'ER TH�EXPtRATiQN OF THE NpT.[C�OF
<br /> C01v�l�ENCEMF1�tT ARE CUN5ID�RED IMPROPER PAXMENTS IJND�It CFiAPTER 7X3,PART l,$�CTION 713.13,
<br /> F1.OR1qA STATUTES ANp CAN RESU�,T iN VUU�t�AYING TWiC�FOR IPROVEMEN7S Tp XOU�t PRqPERTI(.A
<br /> NOTiC�O�'COMIN,EI�TCEIK�NT MLiS'�BE I2�Cp�t,AED AND POS'�ED ON TH�JOB SCI'�BFFCIRE'�F1RST
<br /> IlYSPECT�O�I.TF Y'OU Il�i'�'ENb TO p/3�',rA,T(Y FINANCx1VG,C(1N3UL'�'XOUR Y.�1�I�ER OR AN ATTORN�X�EFOR�
<br /> CUMIy.�NCING WOR�OR RECORA�TG YOU N��CE OF COl►��NCEM�N'�.
<br /> STATF.pF�I.ORIDA .
<br /> COUNTy OF pASCO
<br /> Si nu� Owner or Owner' horizaf O�ccdDi ec Anas�
<br /> ��o r�'a �ro W �,
<br /> �;��tv�,� -
<br /> ��� ^ � �row
<br /> Tho 1'oregui�ng instnuncnt was sckqowledged beFore une tGis _day of YC�._ .Zp�by • /�/ j„�
<br /> ./w�vL I�"t•it��� •� ��Yp�aFauthority,c.g,o�3iC6r,mfstee,artorney in faCt)for
<br /> ('name of pany on bchalf of whoro i�tstxu:mcnt was cxecuted).
<br /> b���a�all Known UR Produccd tdend�ication� Notary$ig��ature� �'
<br /> '0-a��'r�3o--7 a.s�^a � C
<br /> T of Iden�i�catson oduced_ fL p I., � Name(prinq, V C,o� C /3 (q e��Y14�t
<br /> V'ecitiCalion purauant M Scctiun 9:.�25,Floridx 5tatutec,Undu�prnalHes of pery'ury,I decla�dtst I hsve r¢ad tk�e furCgoing and thsl the(acls slated
<br /> in it are true to tha Acsl of my knowlcdge ae�d yelxef. _ "�f
<br /> riNCM�Mqc.rvw7um �/�����s��^,+��/A�,�L/
<br /> '�tina�urc o1'N�lural Pa� a�,g;�y,in�TI,Mve �--�
<br /> �ott c euc�t�uw � ��
<br /> Uofary AWIk•iU1q Of NOrid� .
<br /> ' ' Mp Cpwn.6rpiMa Op 1S.lOtb
<br /> C���EE M,77� �RULA 5.0'NEIL,Ph.�.PP5C0 CLERK & COMPTROLLER
<br /> �eiMN 1l�tapM IM�nM NOUr�MM, 04/03/14 2 m 1 of 1
<br /> o� BK �0�5 PG 19
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