257 BELVEDERE ROOF NOC Jan.23.2014 08:20 PM PAGE. 1/ 1
NOTICE OF COMMENCEMENT
Permit No, Tax Folio No.
State of Florida,County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property In accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
I. Description of property(legal description of property and address if available):
t Y
2, General Description,of improvements: '
3. Owner Information:
o)Name and Address: ! r,�,, f A ��31
b)interest in property:
c)Name and address of simple titleholder(if other than owner):
4. Contractor Information: t
a)Name and Address:..yYe7��••�?„�, , w._ey , „, i -�
' b)Phone Numbw_ 1 ( G�' .art ti C.�t+at`.... ,0-mck X. COY. tc�.k -L �
5. Surety Information:
(l O u .fib% T �t� 5'r{ t �-
o)Name and Addrass:
b)Phone Number:
c)Amount of Bond:$
6. tender Information:
a)Name and Address: --
b)Phonc Number:
7. Person within the State of Florida designated by owner upon whom notincs or other documents may be served as
provided by 713.13(1)(a)7,Florida Statutes:
a)Name and Address: Doc#2014013996,OR BK 16665 Page 380,
b)Phone Numbers of Designated Person. NUmber Pages: 1
8. In addition to himselflherself,Owner designates Ftecurdod 01121!2014 at 10:44 AM,
Rorniie Fussell CLERK CIRCUIT COURT'r3UVAL
a copy of the.Lienors Notice as provided in Section 713.13(1)(b),Florida Statute COUNTY
a)Name and Address: COUNTGrtNC g10.OU
b)Phone Number of person or entity dosignated by owner:
4 Expiration date ofNotice of Commencement(The expiration date is one(1)year fro..My...,..,,,.,..,�,,..,,,,r,H.��.,,�A
different date is specified: 11 '
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER T1,113 EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART
1, SECTION 2.1.3,13, 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„T14E FII 91'INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDINO
YOUR NOTICE OF COMMENC13MENT,
The foregoing instrument was acknowledged befoi ,this—*—day of �,24
Y� RyAMONIICA�CCO Pe:
�ornmanweehh of WrpinlS.
My
7920954 personally Known .J.
Commlellon ExptreS Jan 31,2614 dentifrcation/Type:
w-T
Verilioation,pursuant to Section 92,525,Florida Stsitutes.Under penalties of pei jury,I declare that I have read thi
foregoing and that the facts stated in it arc true to the best of my knowledge and botief.
=Signature of Property Owner
R rui earl l Ail l9AAG