128 Seminole Rd RERF20-0199 NOCNOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
0(SStPermit No. i�' !� O - _ (`� Tax Foils No. _ i 1 - f-7
0 6 0 �- - 001s -
State
ate of _ county _l�� "
To whom It may concern: Pei ., ; 1C R )_ -01'19
The underslgnod hereby Informs you that Improvements will be made, to certain coat property, and in
accordance with Section 713 of the Florida Statutes, the following Information lIs stated In this NOTICE OF
COMMENCEMENT,
Legal description of property being Improved: i -�2-I
Address of property being improved: e,2 ss:
General description of improvements:
Owner C f �lV
Address AJAP
Owners interest In site of the improvement
1 Fee Simple Titleholder (f other than owner)
\ Name
Address ,r+
Contractor C
Address f
Phone No. C!� - ��' - Fax No.
Surety (if any)
Address _
Phone No
Fax No.
of bond S
Name and address of any person making a loan for the construction of the improvements.
Name
Address-
Phone
ddress_Phone No.
Fax No
Name of person within the State of Florida, other than himself, designated by owner upon whom not[ces or other
documents may be serval:
Name --_--- ►�
Address-
Phone
ddress_Phone No.
Fax
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 Statutes. (FIJI 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 date Is specified)
THIS SPACE FOR RECORDER'S USE ONLY c--,OWNER
JATE
�
Beloit this day of In me
C n of Dwe1, Stave of Flo f ppsr ly appeared
Doc # 2020233998, OR BK 19420 Page 1692, 13: W C heroin by
hansetff Iwrsaif and affirms that all Milements and declefebone r'.eroln
Number Pages: 1 are true andarcurate
Recorded 10/21/2020 02:51 PM,
RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL , q
COUNTY 4' (f NO,`Nc;ah pvblK Sum d rida
Flo
RECORDING $10 00 vvv a, Samantha C. Mitchell
Notary Public al La a. Stale r County of µy {,y ",.ab on GG 941042
MycanrNsslonexpiras: xp.,res i2r�13r207]
Peraoriat�y o"'n Or
Produced IdenUftcatlon L