132 Belvedere St - NOC SHED State of Fldr„- CormyofIll lllnl
To Whom It May Concem: —"""�"~—TaxFolio No.
The undersigned, the into you that improvements will be mad,to certain reel Property,the Plorida Statutes,the fallowing information is stated in this NOTICH OF COMrand in acro
Legal Description ofpropetly 6e' �°�v+1tb Section 713 of
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General description ofimpmv,menm: n he—>z—a/ T �es
Owner's interest in site of the improvement: Adm' 31 UP
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Fee Simple Titleholder(if other than owner):
Name:
Courant,
Address:
Telephone No.: d tT et V .G
Surety(if my)
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Address:
Telephone No: Amonat ofaand$
Fax No: �--
Name and address of anypemon IDeking a loan for the ' Doc a 2016228667.OR SK 17730 Page 2019,
Construction of the
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Name: Recorded 10/03/2016 M 12.58 PM,
Address: COUNTY sell CLERK CIRCUIT COURT DUYAL
Phone No: RECORDING$10.00
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Person witbin the State of Florida,other than FNo:
himself;'ax Nated b
srved: Nam,: Y owner upon whom notices or other documents may be
Address:
. Telephone No:
addition to Fax No:
himself. owner ill in atter tb0 following pennon to receive a Copy of the Lienor's Notice as
Name: Provided in Section
Address:
Telephone No:
Fax No:
imCon date of Notice of Cammencement the
ified): ( expimIIon data ie one(1)year from the date of recd
rdu{g unless a different data is I
i SPACE FOR RECORDER'S USE ONLY OWNER ((�� .
Signed: I* / i
Before Re t"a Det,:
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