380 11th St new home NOC NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. 5PZ kP 17- amp C>If ( Tax Folio No. 7U c)`1O^
State of 57" County of
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 des tption of property being improved: `L g (�- - z L it'�ICcvt��C /� ctrl�i
1-n' 3 r_ sc 37 G k 13
Address of property being improved: 390 11--L4 S4 .- r� r-4 3 223?
General description of improvements: S.-.-, 4
. o Owner l.l_ 1-1 X
�`Art]J`'-I n Q✓ Address 190 FcGC 1--4- 3ZZj
Owner's interest in site of the improvement ✓e !�
Fee Simple Titleholder(if other than owner)
Name
Address II
Contractor l i o n c tc f c�/l L
Address tU10q
Phone No. 4-q- 7S(` G 1 I Z Fax No.
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person mailing a loan for the construction of the improvements.
Name A-VA
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 AC/A
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 OW %°�oA.•;
Signed: -DATE t l m
Before me s day of in the
County of Duv SI.*of Florida,hes ppe�rsonal)I yrppeared a X n
I,
T41J:n� \k r 1 W GO Ll herein by X
himself/herself and affirms that all statements and declarations herein ��, A O Z
are hue and accurateo rn z T
Doc#2017275856,OR SK 18205 Page 2299, U o a' �
Number Pages:1 Q Q z `O
Recorded 12/04/2017 08:39 AM, � _ `N G) z
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL �
COUNT( Nota Public at arge,St of County of 13,. .1c4 t o ro o O
-�. M
My mission expires: � c
RECORDING $10.00 Personally Known or
Produced Identification