1465 Jasmine St RERF21-0082 NOCDoc # 2021068804, OR BK 19634 Page 788, Number Pages: 1,
Recorded 03/17/2021 08:57 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio No.
State of Florida County of _
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:
18-34 17 -2S -29E .117 ATLANTIC BEACH SEC H LOT 3 BLK 249
Address of property being improved: 1465 JASMINE ST Atlantic Beach FL 32233
General description of improvements: Re -roof
Owner BURGOS DANIEL and BURGOS GAIL
Address 1465 JASMINE ST ATLANTIC BEACH, FL 32233-1850
Owner's interest in site of the improvement
Fee Simple Titleholder ( if other than owner)
Name
Address
Contractor Prime Roof Contracting, LLC
Address 3500 Beachwood Ct., Suite 207, Jacksonville, FL 32224
Phone No. (904) 530-1446 Fax No Email: office (LD primeroofingfLcom
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 713.46 (2) (b), Florida Statutes. (Fill 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'day
WNER
DATEBeforin the Andrew Coun i/AAr,�tateobr?da.�ersonatlyappeared\tyYD. Davisi
U('y�lj iS
himself,' herself and affirms that i statements and deciats h ei �
are true and accurate N =COMMISSION # CG241220
> EXPIRES. Sept. 17, `2102241
Fil!a�e Bonded Thru Aamn Notary
Notary Public at Large. Sta of County of J
My commission expires:
Personally Kna�,n or
Produced Identification