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643 Selva Lakes RES18-0220 NOC Doc k 2018150877, OR BK 18435 Page 1893, Number Pages: 1, Recorded 06/27/2018 10:37 AM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 /� R SI-3 [ � u [[BBr4onCE OF CU,�JNIIK mEM " Stem of � In Folio No. Conroy of�, To Whom It May Concern: The undersigned hereby inibrms you den improvements will be made to cenem real property,and in accordance with Section 713 of the Flovida Statues,the fbltowing infatuation is stated m'Vila NOZCF OF CO�{�.(�CBMENI'. Leg Description property hAI l�C full rn ( w Y O` 1!1 S_ Legal ton of be mepmvrd:� .,rerncsa_w,ac_ l-1'�Y�Y�� /4r t /7. ...en 111 to tet-(!!(P'� AAA Address of property being IMIWO - r1 �.1 .- •zr—t a��� Oeiierel desareaiao of improvements:V Al"A 6n1�t+.r�7 K - .� owner: 6��*Nf1 Cst CFeYY�1r�de0Artaema: k0U',3+&tvn Owner's interest in site of the improvement: Fee Simple Titleholder(ifother than owinv):. Name: Contractor: a Address:- 9-711 Sem l u L6 Vr 74tr Telephmbta,: 9 �-7 "�a�, ', vP=Ho� Sunny(if MY) Address: Amount of 000$ Telephone No: Fee No: Name and address of my person making a loan for the consltnetionofthe improYemeus .v Name: _. Address:. /"�•� Pbeaalloj Fax Nm bass,ofpaeapi Within ene Stam of Florida,other than himself,designated by owner upon whom notioes m otber documents may be Name Address: TelephoseNo: Fax No: In addition to bimselfi owner designates the following person a receive a copy of the LMWs Notice at provided in Sotetm 713.06(2)(b),Florida States. (Fill in at Owner's Optical) Name: Address: Telephone No: FwNo: Expaadon date of Notice of Commencement(the expiration daft is one(1)year irom de dem ofrecording unless a different date is specified): THIS SPACE FOR RECORdER'S USE ONLY OWNER Si _ Detc OCfare nw qy0 in the County of DUV94 Suds O51%ida,has peracnally appeared risen S+� a.n Notary Public at Lerga,Star of Florida.County tyofDuvd. sty commission erpites: Personally Known: .grinCHARmttiat _ ..o PrydtFca tde 'Fl Ionn'ran`"Sia"tlgeE' t'//)"f'.eaa__ _./ arra�vnaow,mn.am