341 Seminole Rd PLRS21-0007 NOCNOTICE OF COMMENCEMENT '1
Permit No. tG] `d�� Tax Folio No. 1904• A – ociaro
State of Florida, County of Duval
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
L Desc*tion of property (legal rlPa�ription of property prtd address if vailable):
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2. General Descriptioa of ts:
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3. Owner Information:
a) Name and Address
b) Interest in propert3
c) Name and address
4. Contractor Information:
a) Name and Address:
b) Phone Number: -01 6
S. „Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: S
6. Lender Information:
a) Name and Address:
b) Phone Number:
S.
Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
In addition to himself/herself, Owner designates
copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
of to receive a
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction
and final payment to the contractor, but will be one (1) year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE
OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAP'T'ER 713, PART I, SECTION
7�1 ,.,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are true to the best of my knowledge and belief,
C,
Signature of Owner oruthorized Officer/Director/Partner/Manager Signat 's Printed Name & Title/Office
The foregoing instrum t was acknowledged before me by means of ddphysical presence orODnline notarization,
this'rtay of , 20 -DA—, by DJraw 1_, who is personally known to
ame of Person)
me or produced��'4vP� Ltt.�n1,M as identification, as
P3�o -X37 �c -t %-J
n(Type of Authority, e.g.. officer, attorney in fact, etc.)
for – l h A —
(Name of Party Instrument was Executed for)
. [: CRYSTAL L.CHAPPELL
;;, Cwwdsttion # GG 974163
'� 2024 1019
NOTARYWBLrMGNATU" –
Commissioned Notary Name: CAIA
Revised 1/1/2020
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