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i � <br /> I I III�II IIIII IIIII III�I II�II IIIII IIIII IIIII IIIII�II�I IIII IIII <br /> � � 2014154025 <br /> ' Key No. Permit No. <br /> � Rept:1632185 Ree: 10.00 <br /> � NOTICE OF COMMENCEMENT �s: 0.ee IT: e.ee <br /> � � � 09/29/14 K. Garcia, Dpty Clerk <br />, I THE UNDERSIGNED hereby gives notice that improvement wiA be <br /> Made to certain,and in accordance with Chapter 713,Florida State PpULR S o�NE 1 L,Ph D PRSCO CLERK B COMPTROLLER <br /> i Statues,the following information is provided in this Notice of 09/29/14 08:33am 1 of 1 <br /> Commencement: OR BK 90g0 PG 3086 <br /> 1. Description of Property: Parcel No.: 34-25-21-0090 00000-1050 <br /> � (Legal descri tion of the property and street address if available) <br /> 2. General Description of Improvement: <br /> � RE-ROOF MOBILE HOME WITH GAF ASPHAL SHINGLES <br /> � 3. Owner Information: Name: RUSH W. MILLER � <br /> Address: 37411 NEUKOM AVE Ci ZEPHYRHILLS State FL Zip 33541 <br />, Interest in Property: OWNER <br /> Name and Address of Fee Simple Titleholder(If othe than owner) : <br />, 4. Contractor: Name: TLC ROOFING LLC <br /> Address: PO BOX 1745 Ci DADE CITY State FL Zip 33526 <br /> Phone No. 352-473-4073 F x No. 352-473-4073 <br /> 5. Sure : Name Amount of Bon : <br /> tY d $ <br /> Address: Ci State`Zip , <br />, Phone No. Fax No. <br /> 6. Lender: Name: <br /> Address: Ci State_Zip ' <br /> Phone No. ax No. <br /> 7. Persons within the State of Florida designated by O ner upon whom notices or other documents may be <br /> served as provided by Section 713.13(1)(a)(7) Florida Statutes. <br /> Name: <br /> Address: Ci State_Zip <br />' Phone No. Fax No. <br /> 8. In addition to himself or herself, Owner designates of <br /> To receive a copy of the Leinor's Notice as provided i Section 713.13(1)(b), Florida Statutes. <br /> 9. Expiration date of Notice of Commencement(the ex iration date is 1 year of recording unless a different <br /> date is specified.) <br /> WARNING TO OWNER:ANY PAYMENTS MWDE BY THE OWNER AFTE THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE <br /> CONSIDERED lMPROPER PAYMENTS UNDER CHAPTER 713,PART 1, EC 713.13,FLORIDA STATUTES,AND CAN RESULT!N YOUR <br /> PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTIC OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE <br /> JOB SITE BEFORE 7HE FIRST IN3PECTION.IF YOU INTEND TO OBTA N FfNANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY <br /> BEFORE C MMENCING WORK OR RECORDI G YOUR NOTICE OF C MMENCEMENT. <br /> X <br /> Signature of Owner or Owners Author¢ed OfficeNDiredodPartnedManag r 5ignatory's TitleJOifice <br /> '*'Signature Required by same below by'X"mark"' <br /> stateot FLORIDA Countyof_PAS[:n <br /> The forgoing instrument was acknowledged before me this�d y of ,20�by !"til�,t.J k� /t�f j�.o. , <br /> T (Printed name of person adcnowledging) <br /> as for <br /> jl' p of authority e.g. ffice,trustee,attomey in fact) (Name of party on atf of who instrument was executed) <br /> �C��� �t��,l�s. � <br /> Signature of Notary ' t ' , ' Type or Stamp Name of Notary <br /> Personally known OR Produced Identiftcation � ; �- � <br /> Type of Identification Produced: ��L� �� <br /> , . ,�������,, M <br /> �c,.n•�;y., HI�OA M.LYCANS <br /> Verlflcation pursuant to Sectlon 92:525,.Florlda Statutes:under Penald ot perjury,t declare at li 2!d�S�fr�1i�di�btlM ts <br /> stated tn it true to the best of my knowledge�nd ief. � • - Y Comm.Expf►es Jul 24,Z6,1� • <br /> /��� lic� ' 1 - '• �`� Commlae <br /> �''FOFV�d':�'' Ioil I Ff 012217 <br /> x � � •� ���,,••• Boiided TArou�N�fJtllt�rAii11: <br /> Signature of Natural Person Signing AboVe , <br /> . " NEWNOCOB.doc Rev-2008 <br />� ,_ <br />