79 FORRESTAL CIRCLE S - NOTICE OF COMMENCEMENT NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio
State of County of t CO
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 d cription of ro erty being improv•,•• " ' es rre.4 C..; a
04-10 ,-1-k-_, C - C ( ' ,a._):\
Address of pro rty being improved: -1 Ci ire. \-L. ( C--t• cc lt S
General description of improvemen I Y b ,
Owner kJ r 'Le , ) �.1✓C'�/ rr C
Address 1 C1 `� vf'(Q ILr,� t' ;:C UL S -ir)k )--1 , 1:Y
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor y�K..- C Z,, t (y.4.� c 1 -)r`r C�
Address t l (V� * , � �
Phone N� .. n Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No
Name and address of any person making a loan for the construction of the improvements. j
Name ,5 'a;•..•...of•
Address a`2.....A.5....,
b.'.q ,k.;
c
Phone No. Fax No. w �'..............• '
1
Name of person within the State of Florida.other than himself,designated by owner upon whom notices or other T m 8
documents may be served: a x.
Name Q ro , m
Address •v, c` O r
r
Phone No. Fax No. ^, # _
In addition to himself.owner designates the following person to receive a copy of the Lienor's Notice as provided in 3 0 N N
N
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). a,
Name '
Address
Phone 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: .i 'L2- / `i rh /ATE - /I(• /C
Before m this y o In the J
Cgunty of quval.State Vet as personally a arecl
Dec#2015012024,OR BK 17037 Pa e 887. inset �J ✓S herein by
9 himseiv herself a affirms that all statements and declarations herein
Number Pages: 1
are true and accur to
Recorded 01:16/2015 at 02:12 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY � " ,'
RECORDING$10.00 C17
Notary Public at Large,State of . County of--.1.
f l .
My commission expires: / _ ,- / ) r` t
Personally Known or
Produced Identification 1r