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50 DUDLEY ST ROOF PERMIT NOTICE OF COMMENCEMENT State of FLORIDA Tax Folio No. 1345328.0000 County of DUVAL 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: 19-16 17-2S-29E DONNER'S RIP PT LOT 3 LOT 11 BLOCK 2 Address of property being improved: 50 DUDLEY STREET,ATLANTIC BEACH,FLORIDA 32233 General description of improvements: ROOF REPAIR SHINGLES AND ROLLING ROOF Owner:MR.BERT BELL AND MRS. BETTY BELL Address: 50 DUDLEY STREET,ATLAN'TTIC BEACH,FLORIDA 32233 Owner's interest in site of the improvement: LIVING HOME Fee Simple Titleholder(if other than owner): N/A Name: DAVE KILLIAN n� Contractor: DS KILLIAN ROOFING &GENERAL CONTRACTORS INC. J Address: 3948 3RD.STREET SOUTH. SUITE 122,JACKSONVILLE BEACH FL.32250 Telephone No.:_ 904-246-7663 Fax No: 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 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: 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 OWNER ®®// / Signed: C��"!' S(//( Date: // 7�(/7 Dec#2017258534,OR BK 18182 Pap Before me this 001 day off erphei L201-1 in the County of Duval,State _g_5_8, Of Florida,has personally appeared 5-ex \SP 1 Numbere Pages:1 Notary Public at Large,State of F orid County of Duval. Recorded 11SSELL L1 R1 PM, My commission expires: 02.i ( 1�2 b2 County, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL � COUNTY Personally Known: or RECORDING $10.00 � Produced Identification: ""\--7--10n d Gt c.)r 1'[Cx c LIC;f'Yl s2 Heather Mooney State of Florida My Commission Expires 02101/2021 Convulsion Na GG 65713