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NOTICE OF COMMENCEMENT x. y i0
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STATE OF FLORIDA o ID
COUNTY OF DUVAL A ei
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THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in
accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of
Commencement.
NDescription of property(Street address): C6 Z V t' AJ 4 06//AT/41m c,1S C
Legal Description: LDf 6 /o—i, 6 -plc ,_ H
2. General description of improvement: C oM P t e ..e re o C
X Owner information: n
a. Name and Address: j-3JI,pJ Woe 5,54./ ,4 / '8Z OC-E79AJ/3tk.))jf�TL '�
a. Interest in property: (�),AJ�— AV C,SO
b. Name and ad ress of fee simple titleholder(other than owner):
4. a. Contactor's name and address: ( lore r.c..,. 2c. F-,r,..5 - fl k-r ..c_1-or✓ , t N J , ZoS U 16..3 CA r,
b. Phone number: qt.4- 22I-eo s`1 Fax number: A°P ^� ac.h,F1
5. Surety Information:
a. Name and address:
b. Phone Number: Fax Number:
c. Amount of Bond:
6. a. Lender's name and address:
b. Phone Number:
7.a. Person within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by 713.i 2(1)(a)7. Florida Statutes.
b. Name and address:
c. Phone numbers of designated persons:
8.a. In addition to himself/herself,Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement(the expiration date is one(1)year from the date of recording
unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNERAFTER THE EXPIRATION
OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER
CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTED TO OBTAIN FINANCING,CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR
NOTICE OF COMMENCEMENT.
S..nature of Owner(Owner's Authorized Officer/Director/Partner/Manager):
(S gnatory's Title/Office)
The foregoing instrument was acknowledged before me this a day of,A;j )�
by P%1,19,r kt)(p as for �) tin G P SS
Alo
Notary: l
Personally Known Or Produced lndentification Type of identification Produced: ��., 0
My commission expires: !II G(6h 0O) aD o.`J
Under penalties of perjury;I declare that I have read ti e f# 'fug and that low iftaVts statedlin it are
true to the best of my knowledge and belief. 4 'r• ,': Notary Public-State of Florida 1
1 i .F Commission it FF 972890 ■
6 8t.: , My Comm.Expires Mar 20.2020 0