122 6th St S NOC NOTICE OF COMMENCEMENT C
�m Mate of L Tax Folio No. I •Z ��� ���
Count,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 ij{this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: 7. ^ 213 33 ' 1 -M r —
PAR('O 913" 5h,r}1,, N 75-4 Lr j IT1 z Rl 17
Address of property being improved:'/�a— G 1- Sr' 5-,
Generaldescription of improvements: boa T .��P iY iMs�l 19 '4��/r B
�• —
Ownen Address:
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner): —
Name: / 7
Contractor:��1 e t--i2,/ T a- ZV��-• / /
Address: / X5-37 6 Y+/ rs,X �L!• 'aF• JZZS-o
Telephone No.: goy 11/o7 Fax Na:
Surety(if any)
Address: Amount of Bond$ —
Telephone 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:
Telephone 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 Statues. (Fill in at Owner's option)
Name: —
Address
1
Telephone 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 OWNER', rs 1
DocN2019082398,ORBK18751 P Signed' r/l3'/ATJ YC Date: t
Number Pagea:l �e2448, efar_ this day of M^Iinlhe Co ry oval,State
Recortl¢d OM10.'201903*1 PM, N Florida,has Personally appeared T \ c'1 thtK
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL lotary Public at Large,State of Florida Dunt olDoval.
COUNTY
RECORDING $10.00 Ay commission expires: ^,yam.—JJY"°a 'nM#G
rersonally Known: _+'p"• .F; v SIONXGG W29abr
>rotluced Identification: EXPIBEa:GMbar 2"r 2029
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