307 4th St POOL21-0003 NOCPermit No.
State of Florida, County of Duval
NOTICE OF COMMENCEMENT
Parcel ID/Tax Folio No. 69829-0000
THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property (legal description of property and address if available):
W 40Ft Lot 4 E 30FT Lot 6 Blk 6 Atlantic Beach 5-69 307 4th St Atlantic Bch FI 32233
2. General Description of improvements:
Inground Pool
3. Owner Information:
a) Name and Address: Fletcher, William David 101 Bent Pine Ct Ponte Vedra Beach FI 32082
b) Interest in property: Fee Simple
c) Name and address of simple titleholder (if other than owner):
4. Contractor Information:
a) Name and Address: Brian M
b) Phone Number: (904T424 --E
5. Surety Information:
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $.
6. Lender Information:
a) Name and Address:
b) Phone Number:_
ua Desigm930 3rd St Neptune Beach FI 32266
7. Person within the State of Florida designated by owner upon whom notices or other documents may be served as
provided by 713.13 (1)(a) 7, Florida Statutes:
a) Name and Address:
b) Phone Numbers of Designated Person:
8. In addition to himself/herself, Owner designates
copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes.
a) Name and Address:
b) Phone Number of person or entity designated by owner:
of to receive a
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction
and final payment to the contractor, but will be one (1) year from the date of recording unless a different date is
specified:
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
Revised 1/18/18
Under penalty of perj'qy, I declare that I have read the foregoing notice of commencement and that the facts stated
>
therein are true to th st of my knowledge and belief.
Signature of Owner or O e 's Authorized Officer/Director/Partner/Manager Signatory's Printed Name & Title/Office
M' O
M U
00fir✓
The foregoing instrument was acknowledged before me this 2� day of /c.�l c r l 20.9/
Y
14 el -4A^ e� for
N6
by Tt��c as OL -e./
o V
(Name of Person) (Type of Authority, i.e. Officer/Attorney) (Name of Party Instrument was Executed for)
W ry uj 0
O0
N J
00
�»
'2^
`3
Nfn
0)i6 o a_
CO
pu.,., ,
N4:.. KENNETH H SAiTTA NOT PUBLIC, STATE OF FLORIDA
CD
o z
MY CBMMiSSlON # GG 350546 Print Name: 11IZ 4 e e`Itt
o ° a F 0'st
CN
c`- EXPIRES: July $,2023
a >- z O
0.
�; F,°``' Bonded Ttuv Notary Public Undermlters
Known
o E o Z) 0
0z o W
,®Personally
❑ Identification`Type:
O
(Affix Notary Seal Above)
Revised 1/18/18