1850 Mayport Roof18-0098 NOC NOTICE OF COMMENCEMENT
(PR
C p p' EPARE IN DUPLICATE)
Plantlike. ��dF'O -0070 Tax Folio No.
State of Wde County of Dueei
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 slated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: 17-25-29E-17
Address of properly being Improved: 1850 Mayport Road
General description of Improvements: Building Repair-Roof
owner Ossi Klotz, LLC
Address PO Box 330833 Atlantic Beach,FL 32233
Owners Interest in site of the Improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor Master While,Contortion,LLC
Address 484 whidng Lars,Atlantic Bexh.FL 33233
Phone No.(req 4637895 Fax No. (904)'63'7895
" 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
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
Address
Phone No. Fax No.
In addition to himself,owner designates the following person to receive a copy of the Lienors Notice as provided In
Section 713.08(2)(b),Flodda Stables.(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 data Is speed):
THIS SPACE FOR RECORDER'S USE ONLY Ow
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D.M 201827314!3,OR BK 78502 Page 1284, �' NOTARY PUBLIC
Number Pages:1 � STATE OF FLORIDA
Recorded 11 22Y2D1808:46 AM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL (`irt Carm#FF1Stzol
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RECORDING $10.00 fto-nagudoexdwc
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