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07107 NOTIGE OF COMMENCEMENT "lf over$2,500.04 <br /> State of Florid'a <br /> ; County of Volusia <br /> Permit No <br /> Tax Parcel Number <br /> The UNDERSIGNED ttereby gives notice that improvemenf wi11 be made to certain <br /> Real properry,and in accordance with Chapter 713,Florida Statutes,the following <br /> lnformation is provide in fhe Notice of Commencement. <br /> ' i Description af Property:(l.egal description of the property,and stree address is if availabla.} <br /> 2. General description af improvement: <br /> FOR CLERK'S QFFICE USE ONLY <br /> i <br /> 3. Owner informativn: <br /> a. Name and address <br /> I b. Interest in property <br /> c. Name and address of tee simple title holder(if other than owner) <br /> 4. Gantractar: � <br /> Name and address <br /> a. Phone numt�er <br /> i Fax number <br /> 5. Surety:Name and address <br /> � a, Phone number( ) <br /> Fax Number( ) <br /> - <br /> � b. Amount of bontl$ .00 <br /> 6. Lender�Name and address <br /> a. Phone number( } <br /> Fax Number( ) <br /> 7. Persons within the State of Flarida designated by Owner upon hom natices ac other <br /> Documents may be served as provided by Section 713.13(1)(a)7,Florida Statutes; <br /> a. Name and address <br /> b. Phone number{ } <br /> �ax Number( } � <br /> 8, in addition to himself,Owner designates of <br /> To receive a copy of ihe Lienor's Notice as prouided in Section 13.13(1)(b),Florida Statutes <br /> a. Phone number{ ) <br /> b. Fax number( ) ( <br /> 9. Expiration date of Natice of Commencement{ihe expiratian dat is 1 year from the date of recording <br /> Unless a different date is specified) <br /> WARNING TO OWNEft:ANY PAYMENTS MADE SY 1'HE OWNER AFTER T EXPIRATION OF THE NOTICE OF COMMENCEMENT <br /> ARE CONSIQERED IMPROPER PAYMEN7S UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN <br /> RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS Tp YOUR PROP RTY. A NOTICE OF COMMENCEMENT MUST BE ' <br /> RECORDED AND POS7ED ON THE JOB SITE BEFORE TFiE FIRST 1NSPEG ION. 1F YQU 3NTEND TO OB7A3N FINANGiNG, , <br /> CONSULT WI7H YOUR LENDER OR AN ATTORNEY BEFORE COMMENCW WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT i <br /> ! I <br /> Signature af Owner Print Name of 0 ner <br /> State of Florida County of <br /> Aifirmed and subscribed betore me this day of 20 by <br /> Who is personally known to me or who has produced (type nf ID)as identificaGon. <br /> Signature oi Notary Public State of Flonda Print,7ype or Stamp Name of Notary <br /> Notanal Seal Volusia County Permit Center Fax#386-740-5238 <br />