182 Magnolia St NOC NU 1 ILt OF LUMMtNLtMtN 1 ) 2
State of Flea:4 PA- Tax Folio No.
County of Uy --
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: 4 T Cg?-
Address of property being improved: 10oZ 14 ✓lol la-s, f ffq w G q- 322-.33
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General description of improvements: ( )A�t? CQ!'bt! /rew"
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nn (n)ald njcp L a-tk , MIX �ivs
Owner: Address: ((('8 (sr SST
Owner's interest in site of the improvement: O�YI-P�t�' �G
Fee Simple Titleholder(if other than owner):
Name: DQ-,C,V ( Cfi-/I' Ll i tJ X 0 X X z c
MOOM c C
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Contractor: n
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Address: g
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Telephone No.: r�Cj Fax No: m N,g
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Surety(if any) r-o 1
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Address: Amount of Bond$ 7,
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Telephone No: Fax No:
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Name and address of any person making a loan for the construction of the improvements
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Name: c a
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Address:
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Phone No: Fax No: D
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:
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
Signed: Date: `
p Before me this `LD day of in the Coun of Duval,State
�o�►r 4 EDDIE REID
*. Of Florida,has personally appeared Q,��,c..tw t(r,}r
Ab,_•: Notary"Ok-:tate of]2023
Nota Public at Large,
Commission=GG 28NotaryState of Florida,County of Duval.
My Comm.Expires Jan My commission expires: (o l`ZL•'j
Personally Known: or
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