645 OCEAN BLVD - NOTICE OF COMMENCEMENT NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of County of
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. J
Legal description of property being improved: / • ,)'-i �'(• •-/,1- ,,)7
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Address of property being improved: , 7.)J e r<_• --1-- ;f ��
4
General description ofimprovements: (i 4, Yz,',h ��',,,,, /.rte - .).4) 74 . -
tr :/ 'L.4n i— �,
/� 1 Owner ,,./.42.s..-, :; /, <s/V �fl /'/d/0
Ik`Address J (,..,4,--,k_ WI,-,:e
Owner's interest in site of the improvementi.,;, ! .
Fee Simple Titleholder if other than owner)
Name Al
Address A
Contractor F .. i ,/4 ,/jc, :/,- /I i I , (-6
11 Address / S 6' J c 1)SS
Phone No. ,t /,'1jtI ' /VI/ Fax No. 7,.+c/-,lj.G- `:J jli/5"
Surety(if any) /i
Address AAmount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name Ni
Address -.a
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 N
Address -A
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),Flori a Statutes.(Fill in at Owner's option).
Name f J
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):
THIS SPACE FOR RECORDER'S USE ONLY • NER
Signed:
------41-
Before
-�
Bore me this / day o '
In the
County of Dw ,State of F.; air . -ed I,
D y herein by
himself/ :If and- - at all stat me and declarations herein
Doc#2016174568,OR BK 17653 Page 256, are t am acct'ae
Number Pages:1 _''IP -,
Recorded 07/29/2016 at 12:26 PM,
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY Notary Public at Large.State •ur• or
RECORDING$10.00 My commission expires: — —
Personally Known N O., • -• e. • DMON
Produced Identification IFI:N�- - • • y-publi of Florida
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Commission 0 FF 937739
=s% _ My Comm.
throExpires Mar 16.2020
�� ' nib longed ugh National Notary Assn.