65 19th St - NOC ., NOTICE OF COMMENCEMENT
State of t.. County of _ Tax Folio No.
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: t/ '7 - 9/ fJ g -2 `7 -2.5 - 2 96 • /1 6(
. A- L at/ vtij73 12 _If E le>/ : i Ln73 W( o1''71
Address of property being improved: lA S (' 7 ` , S / -7L 1 1,... R ,t c
�I
General description of improvements: j N S 7 LL CZ) Z) 5 '11 �r LA s's I) e v ,:�s + � Z, Pel e' C e t
L- i A 7e.�� oA. �! V
Owner: D4 ti, "d pit77j b id r Address: 5 / 1? 4 7
Owner's interest in site of the improvement: /6 d Y
Fee Simple Titleholder (if other than owner):
Name:
Co tractor: R, » ,i P40 S e �U r L e s
Address: .; 3 C /r 7A /s'' ti N . T',4 tPC4 32 Z- v
Telephone No.: 2 yd- g 7 6 Fax No: 2 y k - 3 Y
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 LS C l r v L
Name:
Address: I i S = • 2016
Phone No: Fax No: nil
Name of person within the State of Florida, other than himself, designated by owner up. whom notices or other documents ay 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 OWNS
•
Signed: cz L Date: 2 -(I 6 i 16 —
Before me this (,, day of Ft r Log„ in the County of Duval State
Doc # 2016034491, OR BK 17461 Page 2118, Of Florida, has personally ppeared 'P y, t'! /'� 4 4.11 . e e n .
Personally Known: ✓ —
Number Pages: 1 STEPHtN NAF t 0
Recorded 02116/2016 at 02:21 PM, Produced ldentific tion: , so l' ,,,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL Notary Public: 4 ; r °. •« Notary Public - a[ate or Florida
COUNTY My commission expires: S , � , = ; +�'_ My Comm. txplres May 5, 2016
RECORDING $10.00 '�'
■
Bonded Through National Notary Assn.