1497 Jasmine St Roof NOCDoc # 2021071134, OR EK 19638 Page 527, Number Pages: 1,
Recorded 03/18/2021 02:51 PM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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=izFPAREiMauaLIcA,e
Penziit Plc. TeX Folio 1\�
8taie of FL _ County of
To whom It may oonta?rn:
1 ne dnders)9rLed. hereuy hviorms you tiiU ttnprtwanieVlts Wig La M.1de to Certain real wroperiv, and 1st
scro t arca tiaitfi Sacdon 7:3 of d,e Ficridz: �;;:eVwtes, the Moving inibrinadon is stated in this NOTICE Oi=
! eel description of praprrty being imfx_oyed:e3
Address of property being Improved:
General description of Improoernantr: REROG'
Owners interest in slieof the irpraysra�nt
Fee SIMpie Tidehoider V other Maal owner,
Nam-- —
Adtlress __ _'—
Contractor ROMANO BRUIMRS RO"G INC
Address PO BOX 330337 A:(LA,-MUC BFALH F 32233
Phone No. 90azas sFks
Surety (If any) —
Fax iVc. 904 296 ?810
AddressPhone No. No. _._ pax Igo. • __
Name and address of any person making a !oat -,or the construuion of the improver. en's.
Name _
Address - -- ~-
Phone iVo. --, _ _. __._. _—_ _ . Fax
Name of person. within the Scale of Pia ix. -len lzlmseit dslgnated by owner upon Whom notices or other
documents may be served:
Name DA>w\Y ROMANO
Address 155 LLW) SUfr 13 �;'_f:�P303rE:CtiuL 32233 _'�
Phone No. 904-6104478
Fax NO.
In addidon to himself, owner designates the follo'""-'iy Person to leCeive a copy Of the Usno>'s INotk* as Provided in
Section 713.06 (2) Qo), Florida Staiutes. (Pill in a; Ovmefs option).
Nanta
Address _
Phone No. .� � Fax NO
axpirarwn ante or Notice Of (itu: radon date is one (1) year from the bate of recording unless a
different date is sfeclred):
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THIS 5FAH, FOR USE O3vL!
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n !ti0<sa4 aid is that l stefentsnta and dac!er 7lens nera)n L
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