2233 SEMINOLE RD #42 - N.O.C. ROOF NOTICE OF COMMENCEMENT
IPREPARE IN DUPLICATE)
Permit No. Tax Folio No. 169519-0182
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:09-23-296 OCEAN VILLAGE ONE•CONDOMINIUM DWELLING UNIT 02 OAR BK 6738-169
Address of property being improved: 2233 SEMINOLE RD APT.42, TLANTIC BEACH, FL 32233
General description of improvements: RE-ROOF
Owner OCEAN VILLAGE ASSOC. INC.
Address 2233 SEMINOLE RD APT.42,ATLANTIC BEACH, FL 32233
Owner's interest in site of the improvement FEE SIMPLE
Fee Simple Titleholder(if other than owner)
Name N/A
Address
Contractor JAMES SHELTON ROOFING
Address 5352 HIGHWAY AVENUE JACKSONVILLE,FL 32254
Phone No.( )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),Florida Statutes.(Fill in at Owner's option).
Name N/A
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 �i 8
different date is specified). NL ui
THIS SPACE FOR RECORDER'S USE ONLY .0 NER Bon1. MIy /i19
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I.State of Fiona.has pe ty appeared O
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hself If and affirms that all statements and declarations herein en
are true an accurate
Notary Public at Large.State of l my or
My commission expires:
Personally Known
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