NOC 325 COUNTRY CLUB LANE NOTICE OF COMMENCEMENT
State ofL LogT�
� 14- Tax Folio No.
County of
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:
Address of property being improved-
General description of improvements: Re'R-a'r– FG tV'r_ 50,►�C-L.
Owner: �N+,ice �N jc, /t _ Address-. 57 L'c�clNT Ccr�C: �i� r1.A��L C7
Owner's interest in site of the improvement: s1�,1=`R_ _
Fee Simple Titleholder(if other than owner):
Name:
Contract=or:
Address:
Telephone No.: 3Z Z / S 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 the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: _ hate: •�C
Before me this day of the County of uval,Stale
Doc#'2013093658,OR EK 16329 Page 2133, Of Florida,has personally appeared
Number Pages:1 Not Irt"at c,. a"fe`�f!'F'`1 u y� Duv t�
Recorded 04116!2013 at 09:11 AM, �xpDEV" 0 (1
Ronnie Fussell CLERK CIRCUIT COURT DUVAL P r "b:1Melary Public-State o on a or
COUNTY Pru ,jftfiomm-Expires ct ,
RECORDING$10.00
"'%",;F ��dG: Commission#EE B42758
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