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Permit Number I t 04 — U t sk St
Parcel ID Number U 4 31r (o O I —boll . oCx
NOTICE OF COMMENCEMENT
State of Florida
County of Pinellas
THE UNDERSIGNED hereby gives notice that improvements will be r
Florida Statutes, the following information is provided in this NOTICE Of
1.Description of property (legal description): {kq.��r 91
a) Street (job) Address: S 1 1 Al W' l-iul jT
2.General description of improvements:
THIS ARFA 18 ItESr:RvFE) FOR Ct hRiC OF TIir COURT CERTIFICNTICiIJ
ode to certain real property, and in accordance with Section 713.13 of the
COMMENCEMENT.
3.Owner Information or Lessee information if the Lessee contracted for the improvement: 1
a) Name and address: �rW_k �'S "T2ri ► Cht-_-, r 7_ AV I N W J-61 rN <<
b) Name and address of fee simple titleholder (if different than Owner listed above) pbd N
c) Interest in property: tom►�n2r
4.Contractor Information
a) Name and address: LSCI, Inc 4625 East Bay Dr., Ste. 305, Clearwater, FL 33764
b) Telephone No.: 727-571-4141 I Fax No.: (optional) 727-540-0804
5.Surety (if applicable, a copy of the payment bond is attached)
a) Name and address: N I�
b) Telephone No.: N hp,
c) Amount of Bond: $
6. Lender
a) Name and address: N a
b) Telephone No.: I
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by ;
713.13 (1) (a) 7., Florida Statutes: I
a) Name and address: N/A-
b) Telephone No.: 'Fax No.: (optional) NJ /A-
S.a.ln addition to himself or herself, Owner designates AJ/ !} of N!A-
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
b)Phone Number of Person or entity designated by Owner:
N/14-
9. Expiration date of notice of commencement (the expiration date may not be before the completion of construction and final paym(
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 OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, 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 BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF, COMMENCEMENT.
Under penalty.of pedur}l, I d fare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of my
knowledtts and belief.,,// / /
Ignature R Owner 81 Lessee, or Owners or Lessee's (Authorized Officer/Director/P rtner/Manager) (Prin Name and Provide Signatory's Title/Office) I
The foregoing instrument was acknowledged before me this of Nday of , _ , 1 , 20 j�Kl
by T-e—r. r. S }k&.xqr—{—t as e_i v, (type of authority, e.g. officer, trustee, attorney in fact)
fnr as
(Name of Person)
for
Personally Known ❑ Produced ID EE
(type of authority,... e.g. officer, trustee, attorney In fact)
(name of party on behalf of whom instrument was executed).
Type of ID Notary Signature
Print name
�40 PO
Notary Public State of Florida
FOLLY ALVAREZ HENANDEZ
orate
j My Commission GiS 125150
�'Expires 07/17/2021