Notice of Commencement 330 11th Street 2012 Oct 01 2012 2: 39PM HP LASERJET FA}t P. 1
NOTICE OF COMMENCEMENT Dcc#2012210833,OR BK 16084 Page 1901.
Number Pages:1
ReGorded 092712012 at 02:32 PM.
JIPA FULt_EF:CLERK CIRCUIT COURT DUVAL
Permit No. COUNTY
P_ia2
Tax Folio No.`7 Anent cir w oocrjRECORDING S10.00
THE UNDERSIGNED hereby gives notice that improvements wrtl be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
1.Description of property(legal descripdon)./0--�_5— z?lir
a)Street{job)Address:x,'386 // _5t, 3s►� 3 __--
2.General description of improvements: f
3.Owner Information
a)Name and address: I)w '0'alli17`�061w-�IA3:;( ala� 410JnoV_ >a
b)Name and address of fee h4riple titleholder(if other than owner)
c)Interest in property
4.Contractor Information
a)Name and address: T
b)Telephone No.: Fax No. ( t.) Qfe `5c2!2_(9619
5.Surety Information
a)Name and address:
b)Amount of Bond:
c)Telephone No.: Fax No. (Opt.)
b.Lender
a)Name and address: j^��
Phone No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
a)Name and address: 1�/,1_�
h)Telephone No.: ! Fax No.(Opt.)
8.In addition to himself;owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b),Florida Statutes: .J,,
a)Name and address:T!,/
b)Telephone No.: Fax No.(Opt.)
9.Expiration date of Notice of Commencement(the expiration date is one 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 I.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 JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PIIVELLAs S HEREE J.AMATOf Notary Public•State o1 Floridignature of Owner or Owner'&Authorized Offieer/Director gar
f' My Comm. Expires May 1,20 ��
uon
commission*EE 89125riatName(
The foregoing instrument was aGknowledged before me this�day of 20 ,by.
as � (type of authority,e.g.officer,trustee,
attorney In fact)for (name of party on behalf of whom instrument was executed).
Personally Known OR Produced IdentificatiAi-40 Notary Signature
Type of Identification Produced , Name(print)
OR
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
FORM44oCiv6d2010
Signatum gNatural Poison Signing(in line 10.)Above