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<br /> � 2014177158
<br /> Permit Number:
<br /> � Folio/Parcel Identif'�cation Number: i�-��-�,- 41�d-.�oca0•-01• ° - - - — ------- -
<br /> Rcpt:1640575 Rec: 10.00
<br /> Prepared by: �.�«< C�`t�c�� DS: 0.00 YT: 0.00
<br /> Retum.to: �o,,,��d.��C`o„-ec- Sy,s���`� 11/07/14 K. McCutcheon, Dpty Clerk
<br /> Z�� 1 U C v�es S'�' --
<br /> ���0.���c ��j-7� PRULA S 0'NEIL,Ph D.PRSCO CLERK & COMPTROLLER
<br /> 1 11/07/14 08:47am 1 of 1
<br /> . N��TICE OF COfVIME CEMENT OR BK ���� PG Z��1�
<br /> 5tate of�Florida, County of ��sc� _ _____ __
<br /> The undersigned hereby gives notice that improvement will be ade to certain real property, and in accordance
<br /> with Chapter 713, Florida Statutes, the following information is p ovided in this Notice of Commencement.
<br /> 1. Description of property (legal description of the property, a d street address if available)
<br /> o (�-� a3 rs r'Y1 P �. �.�l�S 335�{a.
<br /> 2. General description of improvement
<br /> Reroof
<br /> 3. Owner information or Lessee information if the Lessee c ntracted for the improvement
<br /> Name e.G «<s
<br /> Address ��ai C_ � � t� [� , s a
<br /> Interest in Property aw�
<br /> Name and address of fee simple titleholder('rf different fr m Owner listed above) �
<br /> Name -43,�A
<br /> Address
<br /> 4. Contractor
<br /> Name Rebecca J, Ma s/Comfort Cover stems, Inc. Telephone Number 727-298-0955
<br /> Address 711 Tumer St Ctearwater, FL 33756
<br /> 5. Surety(if applicable, a copy of the payment bond is attached "
<br /> Name N/A Telephone Number � .
<br /> Address Amount of Bond �
<br /> 6. Lender
<br /> Name WA Telephone�Number
<br /> Address �
<br /> 7. Persons within the State of Florida designated by�Owne upon whom notices o�other documents�,may
<br /> �be served as provided by§713.13(1)(a)7, Florida Statut .
<br /> Name RUA - Telephone Number
<br /> - Address '
<br /> 8. In addition to himself or hersetf, Owner designates the f Ilbwing to receive a copy of the LienoPs
<br /> Notice as provided in§713.13(1)(b), Fiorida Statutes.
<br /> •. Name N/A Telephone Number
<br /> Address .
<br /> 9. Expiration date of notice of commertcement(the expirati n date may not be before the completion of
<br /> construction and final payment to the contra or, ut will be year from the date of recording unless a
<br /> difFerent date is spec�ed) l i 't r 5
<br /> ViIARNIFfG TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER E EXPIRATION OF:.THE P10110E OF CQtIAMENCEMENT
<br /> ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I SECTION 713.13,FLORlDA STATUTES,AND CAN
<br /> RESULT IN YOUR PAYING TVHICE FOR INJPROVEMEN7'S TO YOUR PROP RT1'.A N0710E OF COMMENCEMENT MUST BE
<br /> RECORDED AND POSTED Ofd THE JOB SITE BEFORE 11iE FIRST INSPEC ON.IF YOU INlEND TO OBTAlN FlNANqNG,CONSULT
<br /> WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK R RECORDING YOUR NOTICE OF CQMMENCEMENT. �
<br /> Under penalty of perjury, I declare that I have read the for ing notice of commencement and tha4 the
<br /> . facts stated in it are.true to the best af my knowledge and b lief. _
<br /> � ,.
<br /> 5ignature of Qwner or Lessee,or Ovvner's or Lessee's Authorfzed Officer/Direc;t rlPartner/Manager Signatorys Trt1�10�ioe
<br /> : The foregoing instrument was acknowledged before me this��. day of �o � by �SFI,r2 �R��i�b o 5,2-�5
<br /> month/year name of person
<br /> as for � � �
<br /> Type of autho' e. .,of�Cer,trustee,attomey in fact ame of party on behalf of whom instrument vras executed . "
<br /> �Sigr�ature Notary Public=State of Florida rint,type,��eamp commissioned name of Notary Public
<br /> 20:.-.,�% CA71il CHAMBERWN
<br /> Personally Known O/R Produced ID�, # � * MV COMMISSION�EE 218831
<br /> Type of ID Produced t/� �� �r9�OFF���\oP B ndedThruBu getNotarySem'ces
<br /> �.,...,oe,�o�• co,.fo,,,►,e.�� �n��
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