662 Main St RERF21-0066 NOCDoc # 2021057981, OR BK 19616 Page 1533, Number Pages: 1,
Recorded 03/05/2021 08:32 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
Penrdt No.
Gltate of FL
UJ)'t LLW `JY- (CO-WI RC LIT�116 tI N
!-iIVARE 1N 0L?Lr-AMZ
Tar, Folio N
Certify of � .
To whore Ye may eoncomi
'fife uncle si@reed hol'ei y inronts you tt,i iirtp, baarr lets will be nada to eorkain Taal property, and in
eccordanea WMI, Section 793 of the Fiorid_ 6 aaMes. Mo iollowim Wonnagon Is eatced ih this NOTICE W
P,f�'VJ � NCLCditi'N3'.
General dosoriptlon or Improvements: tvv=
Owne s interest in site of the it p: ovr.tarf
Foe Simpta lltl Idar (if other Viaii of ma:;
Nags
.address
Contmctor ROMANO 3ROTHIM 120011IhiG W
Address PO BOX 330337 A"Tu4aMC BEACH K, 32233__
Phone No. aoo-atrs-sods — — (a c No. 904-246-4810
Surety (If any) --
Address _ _ _NnounY of bond
Phone No. rax IVo.
Name and address of any person matdmg a loen orth5 construcdon of the imorovemerks.
Name
Address --------
Phone No. _ Fax No. —
Name of parson wethin the Scats of Fiohda. o4�e char; ;itmsa i, de4gna4ad by owner upon whom nOU0e3 or other
documents may be served:
Name DANNY ROMANO
Address 155 I Ei1:' SUI LE.E:CT 1 EI 32233 —
Phone No. 90"10-o47s--------a—�
lnaddiUon to himself, owner designates the follo:, frrg person to receive
a copy of the t.leriar's Notioe as provided in
Section 713.06 (2),,b), Florida Statutes.
(Fill in at Ovmors opnonj
Name
Address
Phone No. -- Fax No.
E.)II'Mon a3le ear Mime Of conm7enc2Msnt (th(' cXPIFMom dats is one (1) yoar*om tho date of 1,acol ding Unless a
different date is specified): `
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