368 4th St ROOF21-0005 NOCDoc # 2021021532, OR BK 19555 Page 642, Number Pages: 1,
Recorded 01/25/2021 04:21 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. R- Tax Folio No.
State of florWe Coady of Duval
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: 5-69 16 -2S -29E Atlantle Beach Lot 25 Blk 5
Address of property being improved. 368 4th St. Atlantic Beach, FL 32233
General description of improvements: Reroof
owner Anna McCarthy
Address 368 4th St. Atlantic Beach, FL 32233
Owner's Interest in site of the improvement
Fee Simple Titleholder (if other than owner)
Name
Address
Contractor Ron Russell Roofing, Inc.
Address 4419 Hudnall Road, Jacksonville, FL 32207
Phone No. 904.714-1907 Fox No. 904-636-9909
Surety (If any)
Address Amount of bond $
Phone No. Fax No.
Name and address of any person making a loan for the construction of the Improvements.
Name
Address
Phone No. Fax No.
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
Phone 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 Statutes, (Fill in at Owner's option).
Name Ron Russell Roofing, Inc.
Address 4419 Hudnall Road, Jacksonville, FL 32207
Phone No. 904-714-1907 Fax No. 904-636-9909
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
different date is specified):
OWNER
Signed: --DATE l l l l
Before me iNt JJ_ day d . Jettvu v!,• o z 1 la tfie 1
County of Dv j� SAM*' ofFIa ✓rnelty/appe-d
A Iw herein by
hptntl9 herself and eftlrms that all state mentt and deolarellorls ha Nn
am trw and occurs%
Notaryip, slatFof—.�. County ofV%jyawk
flyc onexpires: 2- .3-1
Personally known or
Producedldentillicaaon 0 �-