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NOTICE OF COMMENCEMENT 1
Permit No. alos— 02"�o Tax Folio No. Y502-`50Z'QUO—Q
State of Florida County of St. Lude
The undersigned hereby gives notice that Improvement will be madeto certain real property, and in accordance with Chapter 713, Florida Statutes,
the following Information is provided in this Notice of Commencement. r� I L
Legal Description of Property: (and street address if available): % . 6 Pr n (10 Y e rILQ V1 t 1 i/1
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General description of Improvement:_T
owner info,anon or Lessee information iftheLessee contracted for the Improvement:
Name VaGkt)a� pC,1WgY&-a
Address 95!yS 5 Occsr% P 3,5s. ` Zi►Keh secick 1577
Interest in property: I
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: Utr I J e
Contractor Address: Phone Number:
Surety (If applicable, a copy of the payment bond is attached): Amount of bond: $
Name and address: Phone number.
Lender Name: Phone Number.
Lender's address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
71MNI) (a)7., Florida Statutes:
Name: Phone Number:
Address:
in addition to himself or herself, Owner designates
Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes.
Phone number of person or entity designated by owner:
to receive a copy of the
Expiration date of notice of commencement: (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNERAFTERTHE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.23, FLORIDA STATUTES, AND CAN RESULT iN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SiTE BEFORETHE FIRST
INSPECTION. iFYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice ofcommencement and that the facts stated therein are true to the best of
my knowledge and belief.
(Signature of Owner or lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
STATE OFFLORI A J
COUNTY OF G� } J" `� ' i
The foregoing instrument 1pas acknowledged before me by means of hysI , presence or pnline no rizatlon this day of M.��
20�(L by Vi r_+G —/ NGt V cs r il' 0 who is personally known tome or has produced as Identification.
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NOTARY PUBLIC. State Florida-
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