1760 Selva Marina ROOF21-0027 NOCDoc # 2021083139, OR BK 19658 Page 1161, Number Pages: 1,
Recorded 04/01/2021 09:11 AM, JODY PHILLIPS CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING $10.00
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r REPARE tN nuauCATat
ikanrslY No. -- -- 7e , 170110N\ 1 ) `�+ CP Cl (t- �-
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TO Whom ft may oonoiwnt
(i2d 3 ar gytta4 tndtaub I?iiorift� f+ott tic hvipr®vMsnts urii1 be maria to Carta in reef proporty, qAd tr
accowAnae tains 8acilan 733 of the Fiori& 6; afu4es, the foiiamro tnforntiation Lq grated to this N0=iE or
GBA�PA�NCL�CB�N'i.
being improved• _ BC� is C�
Addms of proparty beigg Improved: -. I. )k j '
General d--Iption of lmprovernents:.KHXUO
owner" (--awl
owner's her.^,,, In site of 4iie hapf ovsVndri � -
Fee BUnple TWeholder (if othsr Lnart ower r)
llama
Contreaor WMM,10 BROTHM POOPING INC
Address O $Ox 330337 Ar RNfi1C BL�pC<i 322s3�� - - �_
Phone No. 904.2h4-600 L --
- -___ _Pax No. -7/36-4810
Surety (If
Address_____
Phone No. of !maid 3
Fax No.
Name and address of any per<_o t inakinp a ice; :ort'ne eon%Uu&don of £,e improvements.
Nsmo
Address-
Photse No. - -
- _ Fax No.
Name of pet Or wM;n the S4aie cf o ida, owta: _her'NTII Y. des',gneWd by Omer upon whom nodcas' or oti�s
documents My be Served:
Name DANNY RWAN0
d • Address 155 'VY Rl�i SITffA3 ` t IAC :BSP Ch 132,33
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Phone No. w4-%0-0476 -
FaNo-
In addition to himself, owner designates the toilo:, ng pEs53it to receAle 9, copy of the l terio>'s Hoi ae as };ravidar3 in
Section 713.06 (2),b), Florida Statutes, (l=ilt In eat 0v41er•g nptlot?).
Hams
Address _
Phone No.
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Yatton a or N Dtic9 of Cenanx ncatnmt (the axplration date is ono (9) y®ar sYorn ihs �la2e of i eoording unless a
dit mni daie Is speciflesdy. /
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i`MS SFACE FOCI USE oNLV
Ernrmettto s'g��.dsyof � DATE
ANS
ithec�r/tc8rse glde{dTesfhatanSW �11�oir.bK
are t(2 anu 8tlX}retA terve end dee$ s7ons eerain
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