Beach Avenue 1721 JUL -2r - 2011 15:39 FROM: CLERK OF COURTS 904 270 1512
TO: 92475845 P:1/1
i /� NOTICE OF COMMENCE ENT
Permit No. r
Tax Folio No.
State of Florida., County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real ro c
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement in accordance with
1. Description of property (legal description of property and address if available):
2. Gc.ral Description of improvements:
3. Owner Information:
a) Name and Address: f t6 f 7 U Jar a� Ave , �+ti yr .yat . 'G 7Z2
b) Interest in property: rea ,,, -
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
a) Name and Address: 't+. t4! i G ,•, 1 /(- 7e. 341 Tesc 34 1.03 11n., kG 3 a 2
. b) Phone Number:, off: / .sY Cff 7 f Cf
t FYI 5. Surety Information:
a) Name and Address:
b) Phone Number: �,�1 - - --�
c) Amount of Bond: $
• G. Lender Information: -
a) Name and Address: _ 1 /
b)1 hone Number: fV
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1) a.) 7, Florida Statutes:
a) Name and Address: , .:1 6 1 /fk -7a �.., . +A.1' .+A. - 3 Z Zz3
b) Phone Numbers of Designated Person:,
8, In addition to himself/herself, Owner designates of to receive
a copy ofthe Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
9 Expiration date of Notice of Commencement (The expiration date is one (1) year from the date of. Recording unless a
different date is specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE J013 SITE BEFORE THE FIRST INSPECTION. IF YOIJ INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
T�
The foregoing inst ent as acknowledged before me this day of , 20 /(
PC.,./e") A7 .
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'OTARY PIJ * -L- �..{ Kv 7 at ff
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t vaptPurli
Print Name: ;h y 1
ersonally
❑ Identification/Type:
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, .,declare that 1 have read the
foregoing and that the facts stated in it are true to the best of my knowledge and belief
_ _ . _ - H - r , 1 /0
uoc ft 2U111ti::,' 3 , OR BK 156613 Page 726,
Number Pages:1 Signature of Property Owner `
Recorded 07i27.2011 at 0351 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
0
COUNTY
RF,CORDINO $10.00
Revised 10/1/2009