41 6th St RESO21-0084 NOC NOTICE OF COMMENCEMENT
State of F�3/7 a it - Tax Folio No. / d 1/ O V U
6
County of 2 /i
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 COM E CEMENT.
Legal Description of property being improved: S �� / 6 h 3 `-5-'S
Address of property being improved: 17Z1 ‘'"H'
General description of improvements: /QS$i z -mac r
Owner: /---2/71 X P-74 74‘2A/z.,/ Address: 4,44? k2 JT" /7'f/�ai� C-
Owner's interest in site of the improvement'.' 7L� FL 33
Fee Simple Titleholder(if other than owner):
Name:
Contractor: UG Gc.r-C.S /e,615 _U/ VQ de4SOiV,
Address: 4 1/ a -LI�JG2 S�G�I u�. � —L Re
s�
Telephone No.:' D4 " a �� o o.r1" Fax No: s 3 a�5t 3
Surety(if any)
Address: Amount of Bond$ —
Telephone No: Fax No:
Name and address of any person making an for the construction of the improvements
Name: /1 /
Address: l`
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:
Telephone 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 Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year om: .44a a iWagip diffe ent date is
specified): _ ; .*: MY C(MMISSION#GG 383178 - —
F
;"•.>t�.,o, EXPIRES:October 6,2023
,,fdgF\-°P, Bonded Thru Nota Public Underxriters
THIS SPACE FOR RECORDER'S USE ONLY OWNER ��-���
Signet,. - /� Date: JU o)(. `� /
3efore me thi (' dayof(^�c, F , 7 Z in the Coun y of Duval tate
Doc#2021282144,OR BK 19977 Page 1371, e Z � ,. ,�/
Number Pages:1 Jf Florida,has personally a res, ZG/6��Li /1141-,14`'�o
Recorded 10/26/2021 01:09 PM, Votary Public at Large,Stat of ori..o 'y of D val.
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL Vly commission expir •
COUNTY 'ersonally Known: [2—y-Lor
RECORDD ING $10.00 )roduced Identification: ��