2233 SEMINOLE RD #9 - N.O.C. ROOF NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169519-0118
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 09-2S-29E OCEAN VILLAGE ONE-COMOOMINIUM DWELLING UNIT 9 O/R OK 0956-159
Address of property being improved: 2233 SEMINOLE ROAD APT9 ATLANTIC BEACH FLORIDA 32233
General description of improvements: RE ROOF
owner OCEAN VILLAGE ASSOC. INC.
Address 2233 SEMINOLE ROAD APT 9 ATLANTIC BEACH FLORIDA 32233
Owner's interest in site of the improvement FEE SIMPLE
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor JAMES SHELTON ROOFING
Address 5352 HWY AVE JACKSONVILLE FLORIDA 32254
Phone No.9 .378-9205 Fax No.
Surety(if any)N/A
Address Amount of bond$
Phone 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 NIA
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).Flonda Statutes.(Fill in at Owner's option).
Name N/A
Address
Phone No. Fax No.
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Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a ,L�f;
different date is specified): F`-
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THIS SPACE FOR RECORDER'S USE ONLY 0 NER I 5.81 n.
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S ned: �J\!� .tet. PI-Ea DATE 7 I
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Before .the k•day of in the
County of Duval."tee Florida.has• .40ly appeared
here
hsetru an l selleaccurst nd affRms that all statements and declarations herein
In by
I are
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1:0.r•'tt fY
Notary Public at Large.State f c( . County of DO V v-\ • '""'•�'
My commission expires: _
Personally Kno.`n
Produced Identification_ 3/e-3 O S-So--z7 n