125 DONNER RD NOC NOTICE OF COMMENCEMENT
State of Tax Folio No.
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.
Legal Description of property being improved: '6- 1-7 - ZS 'Z91- Z 9 D-,, A ¢f 5 -5/D PT L 5C 1
09 Leap o/2 l"]�i l6-G ti
Address of property being improved: 17119- D1A1 11.r I
General description of improvements:
Owner: t-5 Dn,NMem Address: 6h Qar3 L2133
Owner's interest in site of the improvement: f'�
Fee Simple Titleholder(if other than owner):
Name: X 0 X M z 0
nE: 0030
Contractor: rv, '{ y 1 ,ou134iv/�1 X�
Address: J30`k 2&C 17/L_ �hLI�S,a,��/�� �L `jZ7-46 z n o(D'0 o,
G) �o
Telephone No.: �VL{- (A6 G-q'is 145 Fax No: o m o,9,
Surety(if any) ti(✓�C o M� Ci
Address: Amount of Bond S go
i':
Telephone No: Fax No: C C-1 $�
Name and address of any person making a loan for the construction of the improvements o
Name:
ci
Address: D
r
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: G�
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 al Owner's option)
Name: tib'
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: e Date: �`����
Before me this day of 0 c / (in the County of Duval,State
- -- - Of Florida,has personally appeared E
TONI GINDLESPERGER Notary Public at Large,State of F rida,Coun al.
MY COMMISSION Ir FF 924951 My commission expires:
EXPIRES:October 6,2019 Personally Known: _
� or
3 Banded Thm Noay Public Underwriters Produced Identification: t _
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