Permit 86 Forrestal Circle South (2) NOTICE OF COMMENCEMENT
Permit No. 5 MIN. RETURN
State of Florida c1 9,e l PHONE # 7d 3
N County of D c' V /11.-•?
N
The undersigned hereby gives notice that improvements will be made to certain real property, and in
accordance with section 713.13 of the Florida Statutes, the following information is provided in this
171 NOTICE OF COMMENCEMENT.
Legal descjp ion of property (Include Street Address, if available)
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vi General description of Im overnents
Owner 5h 7 � ilL. 5kt &)
0 Address $' /, ` �-- i. `7`7� j i2 '" G' G ► C'" s'',t�' P �,
ca Owner's Interest in site of the Improvement
Fee Simple Title holder (if other than owner)
Name
Address
Contractor j ital- 4Y-
Address /,.A a 6 c a scvovi 1 le f Ot'z�A 7�
Surety
Address Amount of bond $
Any person making a loan for the construction of the Improvements:
Name
Address
Person 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
Address
In addition to himself, owner designates
Of
to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes.
Expiration date of Notice of Commencement the expiration date is one (1) year from the date of
recording unless a different date is specified)
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_ ignature of O Printed Name of Owner
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Notary Rubber Stamp Seal 1 I have relied upon the following ' tification oldie Affiant
7
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5w. 'ta subscribed before • this day of a 20 at
tg1: 1�� 0280 �. >
Page: 1227 ( , otary igna, v
Filed E Recorded 1 l I I l -
08/01/2003 04:12:45 12 :45 P$
,IM FULLER s. • RY FL / OFFIam.NOTARY
CLERK CIRCUIT CART O < PHIWP B GURR
RECORDING 5.00 y^ Q COMMISSION NUMBER
TRUST FUND $ 1.00 9 'F •, �o CCSStno
OF FI.O MY COMM ISSION E PIRES ,
t 11 .2004
n. 1.r► t_ �___ _�_ _CT___._1