109 Pine St RES20-0129 NOC*IN%TTCE O? COIRMAEMENT
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"ac U!'FLORID/O TPA Pto Vc 170637-0000
County of DUVAL • •
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The an d c c'rn orris y At, r genie S1 1 de P alp y, fd da ��ti 713 of
the Florida Statutes the following information is statod in this NOTICE OF CONEVIENCEN ENT.
Legal Description of property being improved!
Q10-16 21 -2S -29E.04 SALTAIR SEC 3 PT LOT 683 O/R 157541635
Adds o jroperty being I mrove : 109 PINE ST. ATLANTIC BEACH, FL 32233
G 1 d. ription of t pr m ts:
INSTALL JAMES HARDIE SIDING, VINYL SOFFIT/FASCIA, (11) VINYL WINDOWS & (2) ENTRY DOORS.
Owner: JOHN SALZER - .-address: 109 PINE ST. ATLANTIC BEACH, FL 32233 -
Owner's interest in site of the improvement: OWNER
Fee Sim le Tit tehotder if other than owner):
C"racor,:,KMS SYSTEMS INC
Address: 1301-C PENMAN ROAD JAX BEACH, FL 32250
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Tele ne No.: 904-568-4211 • • • 01--ax-No
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Amount of Bond $
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Name and address of any person makin a loan for the construction of the improvement
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of person within the State of Florida, other than himself, desi ated by owner upon whom notices or of er ocume a w
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In a ition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in ec ion
Name. • •
Address.
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THIS SPA
ER'S USE ONLY
CINDY D, MULLINIKS
Commission # GG 3239
Expires April 16, 2023
f °►,^' Bonded Thru Troy Fain Insurance 800.385.7019
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Before me this 1W day of "LO in the County of Duval, Stat
Of Florida, has personally appeared
Notary Public at Large, State of Florida, County of Duval. all
My commission expires:
Personally Known: 2G or*
Produced Identification:
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