23 CORAL ST - N.O.C. NOTICE OF COMMENCEMENT OFFICE COPY
(PREPARE IN DUPLICATE)
Permit No. /6 f�; Lf Tax Folio No.
State of F*L County of Do vq/
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"-gp?- Q 9' 25 -o?�E 5& 6-iYe .Z tl�,
/‘95"." -eo oc
Address of property being improved: 47.? A./.s/ , tZ'-,7'c �eac/
General description of improvements: /1441 A7Jy.e--
Owner C' 3'
Address 9/ QcP.Pn /-ieCZ e' „/, ./7/a✓pi ? jdcac/ //. ...7,z,„.7
37
Owner's interest in site of the improvement g7r/-fr,e--
Fee Simple Titleholder (if other than owner)
Name
0\ Address
Contractor A,4,- X/C.
Address ./, e/- A:.V,.‘
Phone No. fa'/-Sz/S-- Fax No.
Surety (if any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the improvements.
Name /5'6,1 7—
Address
Address X/6 2 S' ,c,(4/ .7S ( .S/45-4>r /G/ f�86
Phone No. y0y- 79 7"' '5 / 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 ,4z -1 G• 4O�S/�HG//
Address , •2.�p? l�� -9 c- i z✓✓"/ �1�,e A _r_ /,6
Phone No.9 t/5ys- t/f!/ 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
i 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 /it INN •
Signed: DATE 7/.5//
Before me this da of 's. i the
Countyf,pPuval,State of Florid-,has•erso Ily appeared
�A /oi i • � herein by
himself/herself a d affirms that all stateme HALEY ELISE BAKER
are true and accurate ;;a t,."
Doc#2016159924,OR BK 17632 Page 760, °Z Commission M FF 989863
Number Pages:1 a •_
My Commission Expires
ii
Recorded 07/13/2016 at 09:45 AM, ;`�� May 08, 2020
Ronnie Fussell CLERK CIRCUIT COURT DUVAL „"°"",,
COUNTY 44�b_ � �"
RECORDING$10.00
Notary Pu at Large,State ofCounty of -'0i y0.N
M commission expires: (�+0.y-
ersonally Know or
Produced Identification