Permit 1670 Beach Avenue70:92475845 P:1~1
OCT-30-i?001 01:06 FROM: CLERK OF COURTS 904 270 1512
NOTICE OF COIV~MENCEMENT ~ ~ C/
. ~ CJ
r f l
Tex, Polio No._ _~c~7 0 - o ~ o o _ .
THE UNDERSIGNED hereby gives notice that improvemlelits will be made to certain r~l property, and iun accordance with Section
713.13 ofthe Florida Statutes, the following inforxnadon is provided in this NOTICE OF COMI.VISNCEMENT.
I S- 0 8 'Z v '1 - L S- z.~ B O. i 34t
l .Ae.cxptioa of property (lejfrtl decerrpaio~: Ck•~1,-~ C~ R.~ ~c ti.rJ 1 ~ ~•..~. L.o z 5 q~ ~' S- $ t~C,.. C.
a) Smeet (job) Address: l C.Q '7~ "~~~lA L~\!~'
2.Cicnerai deceriptioa of improvements:
3.Oanncr Tnfarmation
a) Name and address: G (;}~.-c,•t~. z~ Pt fi. QG~g~~ ~~ 76 ~-~ s~:~.~~
b) Name and address of fuc simple titlehol (~;f other than owner)
c) Interest in property ^~~ S[ M P!f
4.C.antractor Infornoation ~`-."-
a) Name And address: ~?cJ ~~
b) Telephone No.: Fax No_ (Opt.)
S.Sarcry Info nation
a) Name and address: ~ J~
b) Axnotmt of f3or:,id: ^~
c) Telephone No.: 1!ax No. (Opt)
6.Lendcr
a) Natnc and address•
- Phone No.
7. Identity of person. within ttxe State of Florida designated by owner r+PoA whom ?aodoes or,r docu~erAts tna be se~1~.
a) Name and addn:ss• "~'~Z~FJL C~.~a~l.s•'~r~-i ~ to I ~ G~ Q~.t+~+y4 i~inr -~' FAT 6Z 3 L Z~
b) Telephone No.: _~ c.t- '7.~"'S- 2 rf 4 Faoc No. (Opt.) YoK. ?J:-t Z' Ca l -'L t
S.Ytt addition to himself, owAOr designates the following person m n~ceive s copy of the Lienor's l~fotice as provided in Section
713.13(1)(b} Florida Statutes:
n) Natnc and Address: l~
b) T'ekphone No.: ~ Fsa No. (Opt.)
9.F.xpira6on dAte of Notice of Comrneaoemervt (the e~rplatrltion dots i:one year from the date of a+ecordlag unle,e A dif)'erest date
is +peclficd):
wAltNlilYG TO OWNER: ANY PAYMENTS M~IbE BY THE OWNER AF'1CYR TI<iE EXPIRATION OF TTIE NOTICE OF
COMMI9:NCEM]EN'T ARE CONSIDEREA A10'ROPER PAYMENTS UNDTB CHAPTER ?I i, PART I, SF.CI'ION 713.13,
FLORIDA STATUTES, AND CAN RESULT 1[N XOUR PAYING'l<'VYICE FOR 1MPROVEM$NT3 TO YOUR PROPERTX.
A NOTICE OIr COMMEPICEIV~NT A~UST BE I.tECORDED b ON THE JOB SITE B1lii'ORE THE FIRST
1N3PEC')l'ION. IF YOU fT1TEND TO OBTAIN FINANCING, C T XOIIR LENDER OR AN ATI`ORNEY BEFORE
COMMEIITCAVG W01tK OR R)E<CORbING YOUR NO'1<'ICE O CO NCE
ATATS OP PltoRmA
COtlnty or rnvr~4r,4,s ~ l U. J
Si~atrue MOanez o[ Owacr'x Auttarizod er
Print NaOu
The foregoing inshvva~t was Ackaoowledgod before uae this ~ day of~~, , 20~, by
as (type of sntborlty, e.~C. ottitec, treatee, ~,J
attorney in fact) for (name of peaty o~n b~eb~alf~of w/hom uo~strntment was execetcd}
1'ex9anally wtowsti~OR Produced [deatification „ Notary Simature ~`f~~..4 ~iI •1~7`"''
Typo of TderrtifiCation Produced _ ~ Name (print) ~, j~~,~ G J ~~~~~i1~3fEVBId~ON
OIt * ,~ #11I001/A16910M 1 DO iiST1A9
verification puTSUarrt to Section 92.SZ5, Fbrids Statutes. Under of perjury, I declare drat I ]stave 11, 2tta
_..~. ...~:~ L_j ,....r...+..,,,,,,,d belie / y/~/y~'(~//J '~++raFn. 8adeeTwotttWeNeef~ee~ee
UOC S 1U7 01411hJU. U{2 BK "~ 5C /'J Pale [Ut b. ~ (//~~~"v `-
Numtxr Pages: 1
RCeuttled O(it1g12U10 art 03:48 AM, Signawce oYNaWtal Person Signing(in ' to.) Above
JIM FULLER CLERK CIRCUIT COJRT OUVAL
COUNTY
RECORDING S1U.OC