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State of 'Pt o Y i
County of I D
NOTICE OF COMMENCEMENT
Tax Folio No.
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. } LEb3_��
legal Description of property being improved: 1 4 (O IU �' C C wt I T U
Address of property being improved:
General description 4:;
mprovements:
GJ
Owner: }tip ) �'�1 r� N�=i�jr,r•1 Address:
Owner's interest in site of the improvement:—
Fee Simple Titleholder (if other than owner):
Name:
Contractor: �i�"rte -f -�-
Address: '�r
Telephone No.: �+ Z � �
�{ � � l
Surety (if any)
Address:
Telephone No:
Fax
Fax No:
C.
Amount of Bond $
Name and address of any person making a loan for the construction of the improvements
Name:
1 L %S' J�IGH j11�
Address:
Phone No: Fax No:
Name of person•lwithin the State of Florida, other than himself, designated by owner upon whom notices or other documents may
r�
be served: Name:
r
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: i
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:
Before me thhs day of in the County o Duval, State
Of Florida, h s personally appeared
Notary Public at Large, State of Florida, County of Duval.
My commission expires:
Personally Known: or
Produced Identification: