1345 SEMINOLE RD - N.O.C. NOTICE OF COMMENCEMENT
State of FLORIDA Tax Folio No. 171897-0000 _ __
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:_ 234-4116-2S-29E SELVA MARINA UNIT 1
Address of property being improved: 13-4 2S 29E SEMINOLE RD.
General description of improvements: WINDOW REPLACEMENT/ SIDING REPAIR
Owner:_JAN SMITH
Address: 1345 SEMINOLE RD.ATLANTIC BEACH FL 322333
Owner's interest in site of the improvement: FEE SIMPLE
Fee Simple Titleholder(if other than owner): N/A
Contractor: OWNER
Address: 1345 SEMINOLE RD.
Telephone No.: Fax No:
Surety(if any) N/A
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name: N/A
• 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: N/A
Address: -
Telephone No: Fax No:
hi 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: N/A!__
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 %'N SMITHB
1/A
Signed- i� _A- Date: 7- -/ 7
Before me is 'V 'day of .164. i y 1 in the County of Duval,State
Of Florida,has personally appeared 5•x%---
Notary Public at Large,State of Florida,County of Duval.
Doc#2017157660,OR BK 18043 Page 1174, uty commission expires: 23—,
Number Pages1 Personally Known: or
:
Recorded 07/06/2017 at 03:51 PM. Produced Identification: (-2- r
Ronnie Fussell CLERK CIRCUIT COURT DUVAL
COUNTY ""
,eo ''PL SANDRA C SEMRO
RECORDING 510.00
MY COMMISSION#FF981169
•'.i dR' EXPIRES June 03,2020
f%399-0153 Flor4allotaryService.corn