178 BEACH AVE - NOTICE OF COMMENCEMENT (2) NOTICE OF COMMENCEMENT
State of Florida Tax Folio No. 170210-0000
County of Duval
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: Lot 5,Block 31,Atlantic Beach,PB 5,page 69
Address of property being improved: 178 Beach Avenue,Atlantic Beach,FL 32233 —
General description of improvements: Re--t cc,
Owner: 178 Beach Avenue LLC Address:do D.Edwards,200 W.Forsyth St.,Ste 1300,Jax,FL 32202
Owner's interest in site of the improvement: Fee Simple
Fee Simple Titleholder(if other than owner):
Name: ��''�
Contractor:
OW. ��55�k Q ' - ^✓tC
Address: 1-f YI 9 l/vc.{lr q/i K • , 2-0.C_,(50,vt,v i tie_ C_ 3Z ZC 7
Telephone No.: (90L1) 7/1/4 9 7 Fax No: (9 o 44.) ( ,3 6-996 9
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 im Doc#2015161512.OR BK 17233 Page 2175.
Name: N/A Number Pages: 1
Recorded 07/1512015 at 09:12 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
Address: COUNTY
Phone No: Fax No: RECORDING$10.00
Name of person within the State of Florida,other than himself, designated b, . .____ _r___ .._..,... — ,,, ,urrn:rrw way uc
served: Name: N/A
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: N/A
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 t e "4
Signed: Date: C ji l's
Before me this_ t day of Qi in he County of Duval,State
Of Florida,has personally appeared
Notary Public at Large,State of Florida,County of Duval.
My commission expires:
Personally Known: T
Produced Identificat► — A4KFOA1Mf88I0NI fF
• �T; EXPIRES:November 20,2018
"?; I Bonded Thru Notary Pubic underwriters