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1481 Jasmine St Roof NOCRecorded 03/18/2021 03:01 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 ;' iR ^AFE IN DUPLCA'M 'Nos Perraii NO. i ex Folio - ct �' �c� J State of Fi _ _ _ County at ( Yo whom it nwy ooncorw 'rte uhdeisigried horeLy i nionn5 will ba n9ade to certain reel Ia.og,erty, aria in acc wdance vJ'itt: Seeder, 7'I3 07 his Fieridza� t2a es, the foila"Ning sta?ad ill tiers IWTICE tar OOIv. =-WCMeN10d T . Address of properly being Improved: i General description of Improvements: R"AGE''= Owner ," y ✓%f/1 Address Owner's interest in site of the ii; provsraant _ i Fea Simple Tltleho Tier (if other than owner) Name .address Contractor iWMAIyo BROT7 M-R001WG)WC -- Address PO BOX 334337 A'1 UMIC BEACk m 32233_ — Phone No. 904-2'15-50e9 aureiy (If any) Address Phone No. _.•. �lrnount Of bond "8x Wo. Name and address orany Parson :Waking a i0e ;'orths construction of the improvements. Meade Address_ Phone No. N� —F - Fax No. Name of person within to State of fiOri^e. s:,; tar hlmseif, designated by owner upon whom nodces or ether documents may he served: Name DAN..gy Roivma 155 LEVY � SMITE E.ATL--l-IM" B- Address_ . Phone No. 904610-0476 — — _ Fax ?30. In addition to hinself, owner designates the follov. tng p,.rson to receivo a. Cagy of the I_ierloer Nor„ as p ovided in Section 713.Gt5 (2j ;b;, Florida 8tai ices. (Flu Ina ��.rer's option). Name Address Rhone No. _ Fax No. >axpirawrl care or Notice of cornmencemant (the expiration date is one (1) year iron dMreni daithe date or racarding unless a e is srecifmdk THIS SfACv F�li4 RECC�FtO"I'.'a Uap ©E\! Y oA=E ' it ! ee�f,Ora` /r iitb /l u in e CnS/oof . appeared ! orcin bV h' U hs and afiLi - iha,1a9 stat5Mnt3 and dee er9ens i eraln aro tura and acwMa Ao y 11 atttss��ea C 4 c; 7� --- sty eamrass!on a rss: (i 'r, Aat�fiabyKnwn� ProdLLtad tder�tl&esllon_..- � -� --- � i r.�a N NS