356 10th ST - NOTICE OF COMMENCEMENT NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. 17-SFR 2931 Tax Folio No. 170043-0000
State of FLORIDA 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: 5-69 16-2S-29E ATLANTIC BEACH LOT 25 BLOCK 12
Address of property being improved: 356 10TH ST ATLANTIC BEACH, FL 32233
General description of improvements: CONSTRUCTION OF SINGLE FAMILY HOME
Owner PER OLOF EZELIUS& MARITA EZELIUS
Address 356 10TH ST ATLANTIC BEACH,FL 32233
Owner's interest in site of the improvement • FEE SIMPLE
Fee Simple Titleholder(if other than owner)
Name
Address •
e Contractor LENDRY HOMES,LLC
Address 4745 SUTTON PARK CT SUITE 503 JACKSONVILLE,FL 32224 –
7431 Phone No._(904)992-2100 Fax Na (904)992-2105 —
Surety(if any) f n) (C-l71E:4 [I V ,
Address Amount of bond$ ,
Phone No. Fax No.
• APR 262017
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):
THIS SPACE FOR RECORDER'S USE ONLY OWNER I['26 //
Signed: DATE (`?
Before me this day of in the
County of Duval,State of Florida,has personally appeared
herein by
Doc#2017096342,OR BK 17959 Page 1341, himself/herself and affirms that all statements and declarations herein
Number Pages: 1 are true and accurate
Recorded 04/26/2017 at 01:45 PM, AH
MI
TYLER JEREMIAH
Fussell CLERK CIRCUIT COURT DUVAL = t�,. .�:MMYCOMMERJEREISSION# A061050
COUNTY '
Nota ` S:Jant an
RECORDING$10.00
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My �r i ...e!•.ireeSK9:Ug T a WC, PuUlic in •
Pers. . , . or
Produced Identification