676 East Coast Dr ACRS21-0216 NOCNOTICE OF COMMENCEMENT
f 111RP1'AfiE IN 11UPL1CATEj
Permit No. `r � J �F `'' Tax Folio No.
State of A- County of
To whom it may concern:
The undersigned hereby informs you that improvements will be made to certain real property, and In
accordance with Section 713•of the Florida Statutes, the following Information is stated in this NOTICE OF
COMMENCEMENT.
General dascription of improvements:
Owner 0%, _D
Address !� 4i >-
Ownerrs interest in site of the improvement,
Fee Simple Titleholder (if other than owner)
Name
Address _
Contractor—
Address _
Phone No.
Surety {if any)
Address
Phone No.
P1k-74 FZ-
3 -
Fax No.
Amount of bond $
Name and address of any persons making a loan for the construction of the Improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name
Address
Phone No.
Fax No.
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06 (2) (b), Florida Statutes. (Fill In at
Owner's option).
Name
Address
Phone No.
Fax No.
Expiration date of Notice of Commencement (the
expiration date is one (1) year from the date of recording unless a
c
different date Is specified):
THIS SPADE FOR RECORDER'S USE ONLY��
R
Signed: DATE !
g
Before ma IN: dey of s_ _ _ in the
$
County of Duat, to of F ride, has ono[ a peered
r � J 1 e- n�r�ln ey
_
hfmseffl herself and affirms that all Itilernints and declarations herein
true
�;
°?n
Doc It 2021178599, OR BK 191812 Page 481.
are and accurale
c'n r
Number Pages' 1
Recorded x1 08:56 AM.
JOiiY PHILLIPS CLERK CIRCUIT COURT DUVAL
1t�Uk17
a
COUNTY
RECORDING $10.00
Natery Public at Largs, State of County or
My commission wvas:
ru
Personalty Known or
Produced ldentifcallon 1_