791 Paradise Ln POOL21-0009 NOC11`[111 Y to D[17 W16111315_I PRISOU I II1I
State of !P 1008a, <�Z � � 1i wO Tax Folio No.
County of
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes, the following information is stated in this NOTICE OF CO NCE NT.
Legal Description of property being improved: 51-3166-25 -2-9 E� A kJ -2
Address of property being improved: -39 I_Tal i-:�c "nt kaeniic &afL5=ao!
General description of improvements: j In er—OVk Y�WI i IT, pad
Owner: )64y 10 Address:T11 TlarJ�L--t. 41- aa i
ar-kj F1 --
Owner's interest in site of the
Fee Simple Titleholder (if other than owner):
Name:
Address:
Telephone No.
Surety (if any)
Address:
Telephone No
Fax No:
Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No:
Fax No:
of Bond $
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No:
In addition to himself, owner
713.06(2)(b), Florida Statues.
Name:
Address:
Telephone No:
Fax No:
designates the following person to receive a copy of the Lienor's Notice as provided in Section
(Fill in at Owner's option)
Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is
specified):
TIUS SPACE FOR RECORDER'S USE ONLY
Doc # 2021107363, OR BK 19697 Page 2193
Number Pages: 1
Recorded 04/28=1 08:40 AM,
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL
COUNTY
RECORDING $10.00
Signed: Date:
Before m is ay of the 1
OF Florida, has pe o ally appeared `
NotaryPublic at La e, State of Florida, Coun oDuval,
My commission expires:
Personally Known:
Produced Idenn/ti�fi tion: __tt
I I,)lr, �J '•%Foi,ft?°`, Banded Thm Troy Fain
VV�-pi�iJ
or