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The foregoing instrument was acknow:edFed bef re me this day of_&_J�&, 20J (9
Qsc _Keatgn as _6t)�,Nq Ir T_for
Name of Person, Type of authority (e.g. officer, trustee) Party on behalf of whom Instrument was executed
(Signature of Notary Public - 5
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NOTICE OF COMMENCEMENT
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MY COMMISSION # FF220930
ExPIRES April 15.2019Off
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Permit No. 1 LQC)"1 Jy4 Tax Foiio No. %� p � 15 ' 6 y 3a' ow, .:.)
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State of Florida County of St. Lude
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The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Flor
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the following information is provided in this Notice of Commencement,
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Legal Description of Pro
g p rty: (and street address if available):
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General description of improvement]. r Qt` .
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Owner information or Lessee information if the Lessee contracted for the improvement:
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Name Ck , . \eSi'L_
Address S WC)OCA w Cxce— 34 iq ;'
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Interest in property: 0t_4=-0 f 1[
Name and address of fee simple titleholder (if different from Owner listed above):
Contractor's Name: �5
Contractor Address: D lrtit,3 _ a •,'.r[] Pic) Phone Number-j:2324722r
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Surety (if applicable, a copy of the payment bond is attached): Amount of bond: $ hl
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
713.13{1) (a)7., Florida Statutes:
Name: _ . _ Phone Number:
Address:
In addition to himself or herself, Owner designates _- _. A of to receive a copy of the
Lienors Notice as provided in Section 713.13(1) (b). Florida Statutes.
Phone number of person or entity desig-i.- ted by :owner.
Expiration date of notice of commencement: (the expiration date may not be before the completion o const action and final payment to the
contractor, but will be 1 year from the date of recording unless a different date is specified) 4 C]T,1. 1 n
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 perjury, I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best of
my knowledge and belief.
Ign are of Owner or Lessee, or Owners or Le=see's Authorized Officer/Director/Partner/Manager
(Signatory's Title/Office)
The foregoing instrument was acknow:edFed bef re me this day of_&_J�&, 20J (9
Qsc _Keatgn as _6t)�,Nq Ir T_for
Name of Person, Type of authority (e.g. officer, trustee) Party on behalf of whom Instrument was executed
(Signature of Notary Public - 5
(P '
am�€oly4sigg a of
=!
MY COMMISSION # FF220930
ExPIRES April 15.2019Off
Personally known_ or produced Identification.
Public) Type of Identification produced y►a r.f S GG'l