1651 SEMINOLE RD - NOTICE OF COMMENCEMENT NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit Not Tax Folio No.
State of r L_ County of 1 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. ``
_y �1Le al description of pr rty being improved:
- — at
Address of property being improved: 'L,5 I ( 1
, c a�� 11 1 l rl�Q
General description of improvements: a (W I—
(-r 10'.vner �‘-‘f t S 4 A 4_,,e-N1
4 > Address 1 US I �u A 1 (l(t. 05 • )c3
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name _—-
Address
Contract.,- : -, . i c
Address. e! !—!! ili W�i� '��a
Phone N..sle , 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.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other
documents may be served:
Name
Address
N
Phone No. Fax No. N 2 N. E
Y ° o 8
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in 4t N E
I Z >, u
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option). J O - z
Name W rn w z
Q ,J
Address a c_ z
.G 7 X c
Phone No. Fax No. `t U W EL-
)--
Expiration date of Notice of Commencement(the expiration date is o 1)year from the date of recording unless a
different date is specified): Si` . .°g ..4
THIS SPACE FOR RECORDER'S USE ONLY / OWNER :q� viol g-
Cigned: (/ 't L�� DATE e '�'� g
Bejjglqamethl day of ....›L))/..., in the
I n4C�uA mote vall'tat lorida.has personally appeared
- '� (. t C f . herein by
himself"hersef and affirms taall Statements and declarations herein
Doc#2016036165,OR BK 17464 Page 25, are true and accurate
Number Pages:1
Recorded 02/18`2016 at 10:00 AM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL ////✓ /PI COUNTY •otary ublic at Large.Stat7.11111' unty a r
RECORDING$10.00 My commission expires: I
Personally Kno,.n \ _or
Produced Identification j�