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THIS INSTRUMENT PREPARED BY:
Name:
Address
State of Florida
NOTICE OF COMMENCEMENT
Permit Number ROD- Parcel ID Number (PID)
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 ' , ,
1. DESCRIPTION .OF PROPERTY (legal description of the prooerty, and street address
PSI
3. OWNER INFORMATION:
Name and address: ,-jP, 11 P#LUS,� eafa
Interest in property:
Name and address of fee simple titleholder (if other than owner):
4. CONTRACTOR: (name,
6. SURETY:
Name, address and phone number.
Amount of bond $
6. LENDER: (name, address and phone number):
St.
7. 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, address and phone number):
8. In addition to him/herself, Owner designates Of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 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 1, 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.
STATE FLORIDA _ C1OUNTY4111111111111111111IIIIII11111111
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OWNERS SIGNATURE OWNERS PRINTED NAME
7'h� fp� I� ITsppmefrt wps apknowledged before me this Vjf4by
o is p personally known to e 2D / OR who has produced
VERIFICATION PURSUANT TO SECTION 92.625. FLORIDA STATUTES.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST OF
MY FjNQWLEDGE AND BELIEF. lic _
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�SIGNATUR O,F/FNNA ERSONSI NOABOVE�- J ���
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Print, Type or Stamp Commissioned Name of Notary Public Notary Signature _ 11n P A J