599 Viking Ln Roof NocDoc # 2021040999, OR BK 19587 Page 1906, Number Pages: 1,
Recorded 02/16/2021 01:57 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
&O"I"WE r fay oii mcr'=XT
(, RXPAM IN OUPUCA'n.
Permit No. rat Folio No. _�1;
obsba
toff cotndof_.+ '
• To Whora it rtray ow'i em -
fly undeswDtw timby Boon -as P -L t;xt !ir satic?esr win be r:lada to ow'.x:n rear pros--* and In
aeeo: dwas dvM 8"06n 713 of the Fiorid_ Stsrrtas, the sotiowintt inforinatfon is stafad In this N0110E OF
GOi17�NC�`IIL'Sv �.
Legal d—iption of pity Loiry is
prorad: '
Ada= of property nem improveds,,()
Oonerai d
escription of impradements: tCCiCUIJtt --
Owner_�VUN auEcr • - -�
Add m .Sqq V, '; h� ' )�--h ..
Ownaes interest in sifa of tits in,pfovarnarf
Fee Simple Tltfahoider %if other Clan owns;)
Warne --
.address --- _.--
Oontrector MMM BRO'MM ROOMNG INC —
Address FG BOX 330337 MANDC MAL- SL 3223
PTione No. 804-24"M ray No 904.246.4810
Surety (J any)
Address
,Amoantofbond 5_
Phone No. _. Fax No.
Neale and address of any Parson making a toes :or the const ucpon of the im7roveraanfs.
Name
Phone No. Fax No.
Name of parson wthtn the grata of Fixida. nt%te: dist; ; d n;elt designated by owner upon venom noticas of other
doeumente mey be served:
Name UAWY aoUMC)
A p Address ib WLC5 S`U1TB h A,.tIC BEAFG 32233-H --
Phone NO. 904410 -WS -- _
Fax No. ---
In addiibon to htnself, owner des nates the folio.; ng . ff n 10 ry fi a Moy of
the L'2ric�s 11a4„ a as p ov rzd n -
Section 713.06 (2) (b), Florida Stahrtes. (F@ In at OvAwf- option).
Name
Addrass ---
Phone No. --^�.--- Fax No.
F.'VIr4ran QaM 01 SVotioa oi:p�ttanc8lirenf4J
different date Is s (tlto axpiraUon date is one (1) year horn the daio of recording unless a ^r
petifled):
THIS 3FACE FOR RR„COrti3R, :3 USE OSVI_Y i
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