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+ r� NOTICE OF COMMENCEMENT a OZ v _U -,
Permit No.. I c7G — 0m) Tax Folio No.
State of Florida, County of Duval
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 pro (legal descriprion of ro erty and address if avail lel
�4 �5 o ns-a�fe' pit, Vyti � S' Loi- 2- alk ly
2. General Description of improvements:
3. Owner Information: `
a) Name and Address cc cc k SJ✓�
b) Interest in property:_ C5rb_
c) Name and address of simple titleholder (if other than of
4. Contractor Information: r 1 -
a)Name and Address:
�l
b)Phone Number: 1(3-3 15E61 `el'
5. Surety Information'
-
a) Name and Address:
b) Phone Number:
c) Amount of Bond: $
6. Lender Information:
a) Name and Address:
b) Phone Number:
3ZZ33
�, /'t_ 32233
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/hersel£ Owner designates of to receive a
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:
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 COM7vfENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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.
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the facts stated
therein are trug to the best of my knowledge and belief.
Owner's Authorized Officer/Director/Partna/Manager Signatory's Printed Name & Title/Office
The foregoing ins went was acknowledged beforeme by means AHphysical presence or0online notarization,
this LQ day of 20 f 7 r 1 , by 7]�Jq ct^ , who is personally known to
(Name of Person)
me or produced
for
(Name of Party Instrument was Executed for)
•",rs,';'=iy;••, KAY KEEL SMITH
_, eR
Commission # GG 12^914
Expires November 330, 2021
„y,'; ; ;,.1ntd4R0DiJA�9Y i�bg1'�B 800-3867019
as identification, as
(Type of Authority, e.g.. officer, attorney in fact, ew.)
N43TARYhPUBLIC SIGNATURE — STATE OF FLORIDA_
Commissioned Notary Name:_ ra-,j Ke e- 5n1.(
r4,,5;,J\ r -Pp<.d
Revised 1/1/2020