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Recorded:04/18/0.1 15:13
NOTICE OF COMM]tNCEX:ij:NT
Permit No. Tax ID # 2�28-SoZ - pG/- p00%
State Of GLoQlpA County Of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
Legal Description of property and street address, if available 32r�rzraeis
Z-2 349f3 Zy, .SEe- ATrsfts��aLE Gri/G DEsc�ilrnOi✓
General description of improvements Amara.✓ oF.a OvW�sW,4.o �o eat'��.�roapa ad'rwo 'roc u�+s �,v�,eio.•>�
Owner Ai A59-i9w �I4ST/e.s 1.✓G
Address 0406 --*"A" 34-48Z
Owner's interest in site of improvement
Fee Simple Title holder. (if other than owner)
Address
Contractor-�66q4ep ,e. T>Ayls (OtiST,Q�iGriOi✓ �o,2�v Phone #
Address gip. OOX /8/0 fir. P�-,ecF, FG AeiS Fax #
Surety
Address
Amount of Bond $
Lender
Address
Phone #
Fax #
Phone #
Fax #
Persons •within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by
Section 713.13 (1) (a) 7., Florida Statutes:
Name DOE if/ElIGEla%, ��r�OG�1l f2's�sr/oSr.✓� • Phone # 165- l2 Z Z
Address 32o�e Gn/TER�R�SE �i Fl P ,Q� �L 34-�$z Fax #
In addition to himself, owner designates of "E'„E! 4?q!/iS C STenPP (Phone # sleol-9 33S'
Fax # to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Expiration date of notice of commencement is one year from the date of recording unless a different date is specified.
(Date)
V-6�11
RS SIG ATURE
STATE OF FLORIDA, COUNTY OF sr• L 11619
Acknowledged before me this /, day of APA IL , 20 of ,byGttiY GGy�TJ' , who is personall known to me or
who has produced as identification.
(seal) G ATURE OF NOTARY
-TY)�E OR PRINT NAME OF NOTARY
NOTARY PUBLIC TITLE
GGZ�COMMISSION NUMBER
�4,�
Rag�er .A. Priest
`.•�pYp
:Commission
# CC 971587
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Ea-pires Nov. 7, 200d
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