1639 SEA OATS DR - NOTICE OF COMMENCEMENT Doc # 2016052743, OR BK 17485 Page 1601, Number Pages: 1, Recorded
03/08/2016 at 02:53 PM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No. /7202O_0/?ii
State of fJnd,61... County of —Duva(
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 improve& • ,'J
Jam_ J�
�kk iC'4R t- •‘e CLi
Addre s of props being,(nproved. / ''� �w
General description of improvement.: =- td'/'L_1- (4<Z-- 4.4,ef a eltGSL.P JL/
•/� Owner �. �n � �x •c ���^�2
•
1 — .
Addr 55 /� • // /
Owner's interest in site of the improvement
��r���+++ Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
Address
Phone No. Fax No
Surety(if any)
Address Amount of bond S
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 •
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
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option).
• 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).
ci-
s
THIS SPACE FOR RECORDER'S USE ONLY OWNS- / `o
/ Q/! / E r�w
Sig �. _ /i/i. . � i • TE �/ � /,y
Before,.• is ... d. • �,,' in the u ro o
Art —. _.._. a 0 e C. Juval•S�1✓ Fe(9ag/personally appeared
/ herein by a Ec
himself.herself and affirms that all statements and declarations herein Z ax o.
are true and accurate g t'
4111114. •
V
y commiss'on expires � •s
Personally Kno.sn
Produced Identification
•