2078 Beach Ave ROOF21-0084 NOCNOTICE OF COMMENCEMENT
State of lji-Uln (�--n Tax Folio No
County of \Jl
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.
Legal Description of property being improved: I. S -C13 (SOI - Di,5 61 e 3
Address of property being improved: -)biS- , u� -, &-' � r,y '. �'i`�IA i�L t , h _ -' , -3 c��_ 3_3
General description of improvements: me,4tLk Re - r G to � (' � 1 —o (�Le C-J�
Owner: 1�T Jl C, S h� t� �, er�;l Address: :;U"7 /�.1-, Ave t't &",P6 d a
Owner's interest in site of the improvement:yo L>
Fee Simple Titleholder (if other than owner):
Name:
Contractor:
Adi
Telephone No.: 1)4 - 303- I N & Fax No:
Surety (if any) _
Address:
Amount of Bond $
Telephone No: Fax No:
Name and address of any person 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:
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 from
specified):
THIS SPACE FOR RECORDER'S USE ONLY
Doc # 2021284567, OR SK 19981 Page 1676,
Number Pages: 1
Recorded 10/28/2021 03:21 PM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
is
M`( CG J''riSSIGN # GG 353178
EXPIRES: October 6, 2023
OWNER
--
`` Bonded Thru N• (ary P !bli Un ! nvriters
Signed: Date:
Before me this day o in th.Q C)unty of Duvall to
Of Florida, has personally app ar d
Notary Public at Large, Sta a of F ida, Cou f uval.
My commission expires:
Personally Known: or
Produced Identification: 1 ___