265 CAMELIA ST NOTICE OF COMMENCEMENT May 181504:43p Hammer Tinos,Roofing (904)503.3761 p.1
NOTICE OF COMMENCEMENT y'
State of /
County of 1 1.(/ry I Tax Folio No.
To Whom It May Concern:
The undersigned bereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the S011owing information is stated in this NOTICE OF 0 EMENf.
Legal Description of property being improved:
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Address of property being improved: Q6e-
5- s4. 17 ��
General description of improvements: - Ase
Owner: Address:�(S �C.✓hP I q �'�' n C F
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name: cy�
( 'ommctor: TI'l.,
Address: 6 1, S MJ
Telephone No.:�Ea-`7/7,/7 Fax No:
Surety(if eny)
Address: Amount of Bond S
Telephone No: Fax No:
Name and address of anypmson making a ban for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himselfi'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.D6(2xb),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration dale of Notice of Commencement(the expiration date is one(1)you from the date of recording unless a different date is
specified): -
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: SI15-I/S
Iscfore me 0ria h dry of a 15U to th County of Davi,Stade
Of Florida,has personally appeared
Doc M 201511 pagm.d' 2.OR al( l i l06 Pape 1102, Permnatly Known: ar
RecadOd O91: l Produced Iden' 'on:
RonnieF eWlC ER5,CI 37ITCPM. Notary Public: AA A
Cruris Fussell CLERq CIRCUIT COURT OUVAL
COUNTY Mycommiasion res:
RECORDING$10.00
IFA
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